Healthcare Provider Details

I. General information

NPI: 1104359751
Provider Name (Legal Business Name): APEX EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 GATEWAY BLVD E
EL PASO TX
79907-1275
US

IV. Provider business mailing address

8080 GATEWAY BLVD E
EL PASO TX
79907-1275
US

V. Phone/Fax

Practice location:
  • Phone: 915-592-1011
  • Fax: 915-599-1659
Mailing address:
  • Phone: 915-592-1011
  • Fax: 915-599-1659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DILLON BOYNTON
Title or Position: OPTOMETRIST
Credential: OD
Phone: 915-592-1011