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

Organization subpart

No

Name

Ric Peterson, O.D.NPI 1720297740

Title

Owner

Phone

(817) 557-3937

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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

  TX

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2023.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329106401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197166501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DW848",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• All providers in Mansfield, TX
• 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.