Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeff Birdsong, OD

Individual provider Optometrist · NPI 1790777191

Jeff Birdsong, OD is an Optometry in Boonville, Missouri. Graduated from Illinois College of Optometry at Chicago in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
Illinois College of Optometry at Chicago
Licensed in
MO
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

505 E Walnut St
Boonville, MO 65233-1665
Phone: (660) 882-2444
Fax: (660) 882-7976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2004017361 (MO)

Record details

NPI number1790777191
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESSeptember 9, 2008
Mailing address505 E Walnut St, Boonville, MO 65233-1665

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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