Active NPI
Robert Bruce Boyle, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1033203757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1473-3
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-3461950 | Other | KS | FEDERAL TAX ID |
| 1558670760 | Other | KS | BC/BS |
| 3239530 | Other | KS | CIGNA |
| 545740 | Other | KS | COVENTRY |
| 5062 | Other | KS | PPK |
| 100363120E | Medicaid | KS |
Other names 1
- Dr. Bruce Boyle
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
Enrollment records 1
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
Practice addresses (Care Compare)
305 N Seneca St
Wichita, KS 67203-5923
Phone (316) 260-6280
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1473 | KS | MD | Clinical Social Worker |
| 1473-3 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Boyle OD Inc | Optometrist | Current | 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.
-
- Optometrist
- Wichita, KS
- NPI 1003361197
-
- Optometrist
- Wichita, KS
- NPI 1558670760
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
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.