Richard B Boyle, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5820T Issued in CA

Practice address

1390 N McDowell Blvd Ste F
Petaluma, CA 94954-7104

Phone

(707) 795-7433

Fax

(707) 795-7359

NPI assigned

Dec 6, 2006

Last updated

May 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1346309234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 N MCDOWELL BLVD STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547104",
            "telephone_number": "707-795-7433",
            "fax_number": "707-795-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 N MCDOWELL BLVD STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547104",
            "telephone_number": "707-795-7433",
            "fax_number": "707-795-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5820T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bozuk & Associates Surgical, Inc.
• Michael I Bozuk, M.D.
• Braden Partners LP
• Sierra Bradford Okane
• Rebecca Branch

• Corneal and Contact Management Optometrist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.