Donny R. Broyles, O.D. a Pcorp

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10290T Issued in CA

Legal business name

DONNY R. BROYLES, O.D. A PCORP

Practice address

31685 US Highway 79 S
Suite a
Temecula, CA 92592-2872

Phone

(951) 302-5580

Fax

(951) 302-5581

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Donny R Broyles, O.D.

Title

Ceo

Phone

(951) 302-5580

Specialties & licenses 1

Addresses

Other names 1

• Redhawk Vision Center of Optometry Doing business as

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1780867606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31685 US HIGHWAY 79 S",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922872",
            "telephone_number": "951-302-5580",
            "fax_number": "951-302-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31685 US HIGHWAY 79 S",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922872",
            "telephone_number": "951-302-5580",
            "fax_number": "951-302-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNY R. BROYLES, O.D. A PCORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "DONNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-302-5580",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10290T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redhawk Vision Center of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Aiko Donahoe-Beggs, LCSW
• Donald Woo Lee, M.D., a Professional Corporation
• Mary Ellen Donaldson, R.PH.
• Kaitlin Marie Donnelly
• Lupe Donnelly, NP
• Josefina De Los Angeles Donoso
• McKenna Paige Dooley
• Joshua Doring
• Nicole Dorow, OTR/L
• Kasie Dorr, DO

• Optometrist in Temecula, CA
• Providers in Temecula, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.