Organization Active NPI

Ronald F. Boyles O.D., P.a.

  • Optometrist
  • North Little Rock, AR
National Provider Identifier
1689964090
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2211 Issued in AR
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

Updated by the provider on Apr 19, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
104547722MedicaidAR

Other names 1

  • DR. RONALD FRANKLIN BOYLES O D Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.