Active NPI
Leonard J Boyek, OD
- Optometrist
- Plymouth, PA
National Provider Identifier
1245218007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000444
- Practice address
- 1 East Main Street
Plymouth, PA 18651-3016 - Phone
- (570) 779-1464
- Fax
- (570) 938-0003
- NPI assigned
- Jan 3, 2006
- 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 | OEG000444 | PA | Primary |
Addresses
Primary practice location
1 East Main Street
Plymouth, PA 18651-3016
Mailing address
1 East Main Street
Plymouth, PA 18651-3016
Phone (570) 779-1464
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818640 | Other | FIRST PRIORITY | |
| 410004452 | Other | PA | PALMETTO GBA RAILROAD MED |
| 558037 | Other | US HEALTHCARE | |
| 20655 | Other | PA | GEISINGER HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000444 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1245218007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EAST MAIN STREET",
"city": "PLYMOUTH",
"state": "PA",
"postal_code": "186513016",
"telephone_number": "570-779-1464",
"fax_number": "570-938-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EAST MAIN STREET",
"city": "PLYMOUTH",
"state": "PA",
"postal_code": "186513016",
"telephone_number": "570-779-1464",
"fax_number": "570-938-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYEK",
"first_name": "LEONARD",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "818640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MED",
"identifier": "410004452",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "558037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH",
"identifier": "20655",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.