Provider Demographics
NPI:1962734129
Name:BOYCE FAMILY EYE CARE, LTD.
Entity type:Organization
Organization Name:BOYCE FAMILY EYE CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-518-0303
Mailing Address - Street 1:528 DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4820
Mailing Address - Country:US
Mailing Address - Phone:847-518-0303
Mailing Address - Fax:
Practice Address - Street 1:528 DEVON AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4820
Practice Address - Country:US
Practice Address - Phone:847-518-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL4079Medicare PIN