Boeyink Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001547 Issued in GA

Legal business name

BOEYINK EYECARE PC

Practice address

1109 S Park Street
Carrollton, GA 30117

Phone

(770) 830-0072

Fax

(770) 214-1423

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven John Boeyink, ODNPI 1114061975

Title

President

Phone

(770) 830-0072

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven John Boeyink, OD

  • Optometrist
  • Carrollton, GA
  • NPI 1114061975
  Authorized official Same address or phone

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821132564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S PARK STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-830-0072",
            "fax_number": "770-214-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S PARK STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-830-0072",
            "fax_number": "770-214-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEYINK EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEYINK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-830-0072",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Deanna Blackman, RPH
• Marie Blaize
• James Richard Bland II, M.D.
• Arielle Saunders Blum, LMFT
• Bodymind Therapeutics, Inc.
• Steven John Boeyink, OD
• Wendy Bojnowski
• Ashley Nicole Boling
• Victoria Briana Bonomo
• Kenneth L Boss, MD

• Optometrist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.