Boyd Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BOYD EYE CARE LLC

Practice address

1560 Highway 287 N Ste 300
Mansfield, TX 76063-8824

Phone

(817) 557-3937

Fax

(817) 473-0950

NPI assigned

Nov 7, 2018

Last updated

Jan 24, 2023By 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

Ric Peterson, O.D.NPI 1720297740

Title

Owner

Phone

(817) 557-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Ric Donald Peterson, OD

  • Optometrist
  • Dallas, TX
  • NPI 1720297740
  Medicare reassignment Care Compare group NPD Authorized official
• Bonita Banh

  • Optometrist
  • Fort Worth, TX
  • NPI 1912538356
  Medicare reassignment Care Compare group NPD
• Diana Doan Dinh, O.D.

  • Optometrist
  • Burleson, TX
  • NPI 1043575319
  Medicare reassignment

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1831667906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "817-557-3937",
            "fax_number": "817-473-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "817-557-3937",
            "fax_number": "817-473-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-557-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamera Bounds, LPTA
• Matthew Bower
• Annaclaire Bowman
• Tyler Boyd, PTA
• Boyznberry Corporation
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• Kirk Henry Bradford, D.C.
• Hallie Bradley, MD

• Optometrist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.