Healthcare Provider Details

I. General information

NPI: 1134031602
Provider Name (Legal Business Name): THE BOYM LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 S HAVANA ST
AURORA CO
80014-1014
US

IV. Provider business mailing address

6324 S WALDEN CT
AURORA CO
80016-1169
US

V. Phone/Fax

Practice location:
  • Phone: 720-822-0700
  • Fax:
Mailing address:
  • Phone: 626-940-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MI KYUNG AMY CHUNG
Title or Position: OWNER
Credential:
Phone: 626-940-4233