Individual
MIRIAM S BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
609 DUBOIS ST, VINCENNES, IN 47591-1048
(812) 882-8500
(812) 882-7785
Mailing address
609 DUBOIS ST, VINCENNES, IN 47591-1048
(812) 882-8500
(812) 882-7785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001378
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101141
ANTHEM
IN
Enumeration date
10/25/2005
Last updated
03/25/2015
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