NPIMap

Organization Active NPI

Boyd Optometric Inc

  • Eyewear Supplier
  • Sullivan, IL
National Provider Identifier
1588069744
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BOYD OPTOMETRIC INC
Practice address
108 E Harrison St
Sullivan, IL 61951-2002
Phone
(217) 728-4451
Fax
(217) 728-8958
NPI assigned
Oct 30, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Dr. Jamison T Boyd, O.D.NPI 1326008137
Title
Owner
Phone
(217) 728-4451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

108 E Harrison St
Sullivan, IL 61951-2002

Mailing address

108 E Harrison St
Sullivan, IL 61951-2002
Phone (217) 728-4451

National Provider Directory

National Provider Directory

Locations

108 E Harrison St
Sullivan, IL 61951
Phone (217) 728-4451

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1588069744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HARRISON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619512002",
            "telephone_number": "217-728-4451",
            "fax_number": "217-728-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HARRISON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619512002",
            "telephone_number": "217-728-4451",
            "fax_number": "217-728-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-728-4451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.