Individual provider Active NPI

George Boyle, OD

  • Optometrist
  • Bellmore, NY
National Provider Identifier
1366518656
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TU005375-1 Issued in NY
Practice address
2766 Sunrise Hwy
Bellmore, NY 11710-3639
Phone
(516) 826-2020
Fax
(516) 826-2137
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TU005375-1 NY Primary

Addresses

Primary practice location

2766 Sunrise Hwy
Bellmore, NY 11710-3639

Mailing address

2766 Sunrise Hwy
Bellmore, NY 11710-3639
Phone (516) 826-2020

Other identifiers 1

IdentifierTypeStateIssuer
TU005375-1OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000496 NY Practitioner - Optometry 5395903298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2766 Sunrise Hwy
Bellmore, NY 11710-3639
Phone (516) 826-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TU005375-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision People of Bellmore, Inc CurrentSince Jan 9, 2012 Accepting new patients
Vision People Optometrist PastSince Jan 9, 2012 Accepting new patients

Locations

2766 Sunrise Hwy
Bellmore, NY 11710
Phone (516) 826-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1366518656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 SUNRISE HWY",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103639",
            "telephone_number": "516-826-2020",
            "fax_number": "516-826-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 SUNRISE HWY",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103639",
            "telephone_number": "516-826-2020",
            "fax_number": "516-826-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU005375-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TU005375-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.