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Organization

BRUCE BOYLE OD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE BOYLE (DOCTOR/OWNER)
(316) 260-6280
Entity
Organization

Contact information

Practice address
305 N SENECA ST, WICHITA, KS 67203-5923
(316) 260-6280
(316) 665-6806
Mailing address
305 N SENECA ST, WICHITA, KS 67203-5923
(316) 260-6280
(316) 665-6806

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1473-3
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049847
MEDICARE ID
KS
05
1003631120E
KS
Enumeration date
08/18/2016
Last updated
07/16/2026
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