Emmalena a Boyd OD Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EMMALENA A BOYD OD OPTOMETRIC CORPORATION

Practice address

225 S Main St
Lakeport, CA 95453-5018

Phone

(707) 263-0101

NPI assigned

Mar 14, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emmalena Boyd, ODNPI 1033880851

Title

Owner

Phone

(707) 350-5740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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.

• Emmalena Ann Boyd, OD

  • Optometrist
  • Lakeport, CA
  • NPI 1033880851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1609577857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535018",
            "telephone_number": "707-263-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535018",
            "telephone_number": "707-263-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMALENA A BOYD OD OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "EMMALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-350-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Eberhardt
• Harrison B Edgley Jr., M.D.
• Lilli Edson, MA
• Barbara Jean Ehr, MFT, LEP
• Elite Logistics Northern California LLC (Elite Logistics)
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• Erik Jameson Chiropractic Inc.
• Ryan Eric Estevo, ASW
• Kelly Jean Evenson
• Evergreen at Lakeport, L.L.C. (Evergreen Lakekport Healthcare)

• Optometrist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.