Individual
WILLIE BENTON BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G13745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G137450
—
CA
01
—
G13745
CA LICENSE
CA
01
—
WG13745C
INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
CA
Enumeration date
06/24/2006
Last updated
05/17/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up