Active NPI
Michael William Boyd, A.O.
- Ocularist
- Burlington, NC
National Provider Identifier
1770701526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 27-3468101
- Practice address
- 1736 Maple Ave
Burlington, NC 27215-6846 - Phone
- (336) 228-1403
- Fax
- (336) 228-1503
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Ocularist | 156FX1700X | 27-3468101 | NC | Primary |
| Prosthetics Case Management | 1744P3200X | 27-3468101 | NC |
Addresses
Primary practice location
1736 Maple Ave
Burlington, NC 27215-6846
Mailing address
1736 Maple Ave
Burlington, NC 27215-6846
Phone (336) 228-1403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795511 | Medicaid | NC | |
| 023UX | Other | NC | BLUE CROSS BULE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Eye Prosthetics, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Burlington, NC
- NPI 1477853414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1770701526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 MAPLE AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156846",
"telephone_number": "336-228-1403",
"fax_number": "336-228-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 MAPLE AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156846",
"telephone_number": "336-228-1403",
"fax_number": "336-228-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"credential": "A.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "NC",
"license": "27-3468101",
"primary": true
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "27-3468101",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795511",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BULE SHIELD",
"identifier": "023UX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.