Organization
BRUCE BOYLE, OD. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE BOYLE OD (OWNER/DOCTOR)
(316) 260-6280
Entity
Organization
Contact information
Practice address
2757 S SENECA ST, WICHITA, KS 67217-2862
(316) 260-6280
(316) 665-6806
Mailing address
2757 S SENECA ST, WICHITA, KS 67217-2862
(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
05
—
100363120-E
—
KS
01
—
5062
PREFERRED HEALTH SYSTEMS
KS
01
—
545740
COVENTRY
KS
01
—
KS4733
EYE MED
KS
Enumeration date
10/05/2010
Last updated
06/20/2018
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