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NPI Code Detail

MEDICARE: DR. DOUGLAS D BOYD OD

MEDICARE: DR. DOUGLAS D BOYD OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT003327GA

General Provider Information

NPI Number : 1700456654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS D BOYD OD
Provider Business Mailing Address
First Line : 7180 DIANA CIR
Second Line :
City : GAINESVILLE
State : GA
Zip : 30506-4705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 546 LAKELAND PLZ
Second Line :
City : CUMMING
State : GA
Zip : 30040-2782
Country : US
Telephone Number : 678-208-2393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 07/01/2021

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