Individual provider Active NPI

Robert Bruce Boyle, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1033203757
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
Practice address
305 N Seneca St
Wichita, KS 67203-5923
Phone
(316) 260-6280
Fax
(316) 665-6806
NPI assigned
Oct 3, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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 6

IdentifierTypeStateIssuer
27-3461950OtherKSFEDERAL TAX ID
1558670760OtherKSBC/BS
3239530OtherKSCIGNA
545740OtherKSCOVENTRY
5062OtherKSPPK
100363120EMedicaidKS

Other names 1

  • Dr. Bruce Boyle Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050524000876 KS Practitioner - Optometry 6002858602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce Boyle OD IncGroup PAC ID 3678860236, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1473KSMDClinical Social Worker
1473-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Boyle OD Inc Optometrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

2757 S Seneca St
Wichita, KS 67217
Phone (316) 260-6280

305 N Seneca St
Wichita, KS 67203

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1033203757",
    "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": {
        "last_name": "BOYLE",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1473-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "27-3461950",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1558670760",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3239530",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "545740",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK",
            "identifier": "5062",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363120E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "BOYLE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.