Organization
DR. KENNETH BOYER, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JAMES BOYER O.D. (PRESIDENT / OPTOMETRIST)
(909) 596-6756
Entity
Organization
Contact information
Practice address
2443 FOOTHILL BLVD, LA VERNE, CA 91750-3028
(909) 596-6756
(909) 593-0786
Mailing address
2443 FOOTHILL BLVD, LA VERNE, CA 91750-3028
(909) 596-6756
(909) 593-0786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000651
—
CA
Enumeration date
11/21/2006
Last updated
03/11/2020
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