Individual provider Active NPI

James P Boyland, O. D.

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1013977230
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
130001261 Issued in DE
Practice address
4605 Kirkwood Hwy Ste a
Wilmington, DE 19808-5005
Phone
(302) 999-7171
Fax
(302) 993-7863
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 130001261 DE Primary

Addresses

Primary practice location

4605 Kirkwood Hwy Ste a
Wilmington, DE 19808-5005

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
01114MedicaidDE
161525705OtherDEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000995 DE Practitioner - Optometry 7618159849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

885 S Governors Ave
Dover, DE 19904-4158
Phone (302) 734-5861

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130001261DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Oct 30, 2015 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Oct 30, 2015 Accepting new patients
John R. Fish, O.D. Inc. Optometrist Past Accepting new patients
Wolfram H Andrews Optometrist Past Accepting new patients
Andrews Eye Corporation Optometrist PastSince Jan 1, 2018 Accepting new patients

Locations

1237 Quintilio Dr
Bear, DE 19701
Phone (302) 678-1700

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

1197 Airport Rd
Milford, DE 19963
Phone (302) 422-2020

4605 Kirkwood Hwy
#A
Wilmington, DE 19808
Phone (302) 999-7171

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1013977230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 KIRKWOOD HWY STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085005",
            "telephone_number": "302-999-7171",
            "fax_number": "302-993-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAND",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "130001261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01114",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161525705",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.