Boyer, Kenneth James
Boyer, Kenneth James is an sole proprietor health care provider with primary practice located at 2443 Foothill Blvd , La Verne CA 91750-3028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boyer, Kenneth James can be contacted via phone (909) 596-6756.Contact Information
Primary practice address
2443 Foothill Blvd
La Verne CA 91750-3028
Phone: (909) 596-6756
Fax: (909) 593-0786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT8197TLG | California |
Profile Details
| NPI number | 1801961453 |
|---|---|
| LBN Legal business name | Boyer, Kenneth James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Mar 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801961453 | NPPES |
| California | MEDICAID | SD0081970 |
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