Active NPI
Ronald F. Boyles O.D., P.a.
- Optometrist
- North Little Rock, AR
National Provider Identifier
1689964090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2211
- Legal business name
- RONALD F. BOYLES O.D., P.A.
- Practice address
- 2520 Crestwood Rd
North Little Rock, AR 72116-7623 - Phone
- (501) 758-9500
- Fax
- (501) 753-4311
- NPI assigned
- Apr 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra A Boyles
- Title
- Manager
- Phone
- (501) 758-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2211 | AR | Primary |
Addresses
Primary practice location
2520 Crestwood Rd
North Little Rock, AR 72116-7623
Mailing address
2520 Crestwood Rd
North Little Rock, AR 72116-7623
Phone (501) 758-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104547722 | Medicaid | AR |
Other names 1
- DR. RONALD FRANKLIN BOYLES O D
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Conway, AR
- NPI 1235108655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303171200000",
"number": "1689964090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-758-9500",
"fax_number": "501-753-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-758-9500",
"fax_number": "501-753-4311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD F. BOYLES O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A",
"authorized_official_last_name": "BOYLES",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-758-9500"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "2211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104547722",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DR. RONALD FRANKLIN BOYLES O D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.