Individual provider Active NPI

Michael William Boyd, A.O.

  • Ocularist
  • Burlington, NC
National Provider Identifier
1770701526
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
27-3468101 Issued in NC
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

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7795511MedicaidNC
023UXOtherNCBLUE 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.