National Provider Identifier Database

KENNETH A BOYLE SR, OD – NPI #1184673576
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KENNETH A BOYLE SR, OD
7875 JOHNNY CAKE RIDGE RD
GREAT LAKES MALL
MENTOR, OH44060-5529
Phone: 440-255-2176
Fax: 440-255-1094
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KENNETH A BOYLE SR

NPI Number 1184673576
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 2758
  • OH Medicaid: 0002124
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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