DR. SPENCER BOOZER – Optometrist, NPI 1366981466

DR. SPENCER BOOZER is a healthcare provider. based in Cullman, Alabama. specializing in OPTOMETRY. They hold a License No. S-D92-TA-B07 (AL). The NPI Number for DR. SPENCER BOOZER is 1366981466

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SPENCER BOOZER
NPI
1366981466
Phone
(256) 739-4000
Address
1639 FIELD OF MIRACLES DR
Enumeration Date
22 February 2017
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2567394000
Graduation Year
2017 (9 years ago)
PAC ID
1052670536
Group Practice PAC ID
2163505793
Professional Enrollment ID
I20180108001539
Address ID
AL350557601CU1639XSWXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. SPENCER BOOZER

  • 1639 FIELD OF MIRACLES DR

    CULLMAN, AL 350557601

    Phone: (256) 739-4000

    Fax: (256) 734-1390

    Type: Mailing

  • 1000, 2nd Avenue Southwest, Cullman, Cullman County, Alabama, 35055, United States

    CULLMAN, AL 350554934

    Phone: (256) 739-4000

    Fax: (256) 734-1390

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,004.

Total Amount is formed as General ($2,004) + Research ($0) + Ownership ($0) = $2,004.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($1,674).

Total Amount

$2,004

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,004

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180108001539IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens3,15024$0
99214Established patient office or other outpatient visit, 30-39 minutes194170$0
99213Established patient office or other outpatient visit, 20-29 minutes9367$0
92134Imaging of retina3728$0
92133Imaging of optic nerve3226$0
View full utilization report →

Insurance plans in this area (ZIP 35055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163505793View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL

Reviews

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Frequently asked questions

How do I look up DR. SPENCER BOOZER by NPI?
Use NPI 1366981466 when you need to reference DR. SPENCER BOOZER in forms, claims, or directories.
Is DR. SPENCER BOOZER active in the national directory?
DR. SPENCER BOOZER's public NPI profile is in an active state.
Does DR. SPENCER BOOZER list a primary specialty?
If you are matching referrals, note Optometrist for DR. SPENCER BOOZER. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SPENCER BOOZER?
The snapshot lists Cullman, Alabama for DR. SPENCER BOOZER; download NPPES for the complete set.
How can I contact DR. SPENCER BOOZER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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