Organization
BOYD EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIC PETERSON O.D. (OWNER)
(817) 557-3937
Entity
Organization
Contact information
Practice address
1560 HIGHWAY 287 N STE 300, MANSFIELD, TX 76063-8824
(817) 557-3937
(817) 473-0950
Mailing address
1560 HIGHWAY 287 N STE 300, MANSFIELD, TX 76063-8824
(817) 557-3937
(817) 473-0950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197166501
—
TX
05
—
329106401
—
TX
01
—
8DW848
BCBS
TX
Enumeration date
11/07/2018
Last updated
01/24/2023
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