Mary Boyle

Primary specialty

OptometristTaxonomy code 152W00000X

License

011397 Issued in NY

Practice address

1590 Union Blvd # 11706
Bay Shore, NY 11706-7358

Phone

(631) 654-2020

NPI assigned

Jun 29, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1265358766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JOMARR PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 UNION BLVD # 11706",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067358",
            "telephone_number": "631-654-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723121",
            "country_code": "US",
            "telephone_number": "631-654-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2766 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117103643",
            "country_code": "US",
            "telephone_number": "516-826-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Borneman, RD, CDN
• Jenna Catherine Borrelli, DO
• Ashley K Bos, DPT
• Jennifer Bosco, LMSW
• Dawn Bosque, LPN
• Tara L Boyle, PA-C
• Luis A Bracero, MD
• Jacob Braffman
• Kelly Marie Bragger, LMT
• Daniel Joseph Brandenstein, DO

• Optometrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.