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BOYD OPTOMETRIC INC NPI 1588069744


NPI Information

NPI: 1588069744
Provider Name: BOYD OPTOMETRIC INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
108 E HARRISON ST
SULLIVAN, IL
ZIP 61951
Phone: (217) 728-4451
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BOYD OPTOMETRIC INC is an eyewear supplier in Sullivan, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BOYD OPTOMETRIC INC NPI is 1588069744. The provider is registered as an organization entity type.

The provider's business location address is:

108 E HARRISON ST
SULLIVAN, IL
ZIP 61951-002
Phone: (217) 728-4451
Fax: (217) 728-8958

The provider's authorized official is Jamison T Boyd .
The authorized official title is Owner and has the following contact phone number (217) 728-4451.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 12/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L52671MEDICARE PINILLINOIS
2352450MEDICARE OSCAR/CERTIFICATIONILLINOIS
3U58272MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.