| NPI | 1316012834 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-21 |
| Last Updated | 2020-03-11 |
| Authorized Official | Kenneth Boyer President / Optometrist Phone: 9095966756 |
| Mailing Address | 2443 Foothill Blvd La Verne, CA 91750-3028 United States Phone: (909) 596-6756 | Fax: (909) 593-0786 📍 View Map |
| Primary Practice Address | 2443 Foothill Blvd La Verne, CA 91750-3028 United States Phone: (909) 596-6756 | Fax: (909) 593-0786 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | GSD000651 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | CA | - |
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About NPI 1316012834
Dr. Kenneth Boyer, O.d., Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1316012834. The primary specialty listed is Optometrist. The organization is located in La Verne, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316012834?
NPI 1316012834 belongs to Dr. Kenneth Boyer, O.d., Inc, a Optometrist in La Verne, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316012834 active?
The current status of NPI 1316012834 in the NPPES registry is Active. The record was last updated on 2020-03-11.
What specialty is NPI 1316012834?
NPI 1316012834 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316012834?
You can verify NPI 1316012834 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316012834?
The primary practice address on file for NPI 1316012834 is 2443 Foothill Blvd, La Verne, CA 91750-3028. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316012834 issued?
NPI 1316012834 was first issued (enumerated) on 2006-11-21. The NPPES record was last updated on 2020-03-11.
Practice Location Map
Dr. Kenneth Boyer, O.d., Inc is located at 2443 Foothill Blvd, La Verne, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dr. Kenneth Boyer, O.d., Inc. All records sourced from the CMS NPPES registry.