Farin George Boyle, O.D., B.A., A.A.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC003758 Issued in FL

Practice address

18263 Pines Blvd
Pembroke Pines, FL 33029-1419

Phone

(954) 433-1234

Fax

(954) 433-1233

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Applied Science, Bachelor of Arts

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1366461246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 SW 198TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333321015",
            "telephone_number": "954-257-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291419",
            "telephone_number": "954-433-1234",
            "fax_number": "954-433-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "FARIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D., B.A., A.A.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003758",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001988",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006647",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620781200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Bowden, PT, DPT
• Eve Mandisa Rader Bowers, MD
• Joseph P. Bowers, M.D.
• Dolores Bowie, M.S.,CCC-SLP
• Dara Boyce, PA-C
• Dayrelis Boza Avila
• Cecilia Boza
• Alecia Bradley, OTA/L
• Dejah Bradley
• Desiree Bradwell

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.