Kenneth Boyer Od, INC
Optometrist in La Verne, CA. Organization (NPI-2).
NPI number1164058798
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1164058798
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenneth Boyer Od, INC
- Organization subpart
- Yes
- Enumeration date
- Mar 16, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
2443 Foothill BlvdLa Verne, CA 91750-3028
Phone 909-596-6756 · Fax 909-593-0786
Mailing address
2443 Foothill BlvdLa Verne, CA 91750-3028
Phone 909-596-6756 · Fax 909-593-0786
Other practice locations
1637 N Mountain Ave
Upland, CA 91784-1732
Upland, CA 91784-1732
Phone 909-982-0100 · Fax 909-985-1552
Authorized official
Patricia Ann Daniels
Insurance Coordinator/Biller
9095966756
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Other Optometrist providers in La Verne, CA
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All 10 Optometrist providers in La Verne · All 659 providers in La Verne
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