Organization Active NPI

Bruce Boyle OD Inc

  • Optometrist
  • Wichita, KS
National Provider Identifier
1003361197
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1473-3 Issued in KS
Legal business name
BRUCE BOYLE OD INC
Practice address
305 N Seneca St
Wichita, KS 67203-5923
Phone
(316) 260-6280
Fax
(316) 665-6806
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce Boyle
Title
Doctor/Owner
Phone
(316) 260-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1473-3 KS Primary

Addresses

Primary practice location

305 N Seneca St
Wichita, KS 67203-5923

Mailing address

305 N Seneca St
Wichita, KS 67203-5923
Phone (316) 260-6280

Other identifiers 2

IdentifierTypeStateIssuer
049847OtherKSMEDICARE ID
1003631120EMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160926000443 KS Part B Supplier - Clinic/Group Practice 3678860236 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS
O20170407000469 KS DME Supplier - Physician - Optometrist 3678860236 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

305 N Seneca St
Wichita, KS 67203

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1003361197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035923",
            "telephone_number": "316-260-6280",
            "fax_number": "316-665-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035923",
            "telephone_number": "316-260-6280",
            "fax_number": "316-665-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BOYLE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "316-260-6280"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1473-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "049847",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003631120E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.