Steven T Boyles, OD PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1435-T Issued in GA

Legal business name

STEVEN T BOYLES, OD PC

Practice address

7001 Concourse Pkwy
Douglasville, GA 30134-4549

Phone

(770) 489-7595

Fax

(770) 489-7695

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven T Boyles, OD

Title

Optometrist

Phone

(770) 489-7595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1619106721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CONCOURSE PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344549",
            "telephone_number": "770-489-7596",
            "fax_number": "770-489-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CONCOURSE PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344549",
            "telephone_number": "770-489-7595",
            "fax_number": "770-489-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN T BOYLES, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-489-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "1435-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.