DR. HERIOTE DEVAUGHN BOYLES JR. (NPI# 1356399596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356399596 |
| Entity Type | Individual |
| Full Name | DR. HERIOTE DEVAUGHN BOYLES JR. |
| Credential | O.D., FOCVD |
| Practice Address |
594 River Hwy Mooresville NC 28117-6829 |
| Practice Telephone | 7046623909 |
| Practice Fax Number | 7046580479 |
| Mailing Telephone | 7046623909 |
| Mailing Fax Number | 7046580479 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0700 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 09120 | 01 |
| NC | EYEMED | 117048 | 01 |
| NC | EYEMED PROVIDER | 207665 | 01 |
| NC | AARP PROVIDER # | 207665 | 01 |
| NC | UNITED HEALTH | 2241973 | 01 |
| NC | AVESIS (WELLPATH) | 25931 | 01 |
| NC | CIGNA/CMV | 207665 | 01 |
| NC | HIGHMARK BCBS | 43106 | 01 |
| NC | AETNA PROVIDER # | 0906220 | 01 |
| NC | CLARITY | 43106 | 01 |
| NC | MEDCOST | 66176 | 01 |
| Street Address |
594 RIVER HWY |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271136 | Pretty Jose | Pharmacist | 594 River Hwy, Mooresville, NC 28117-6829 | 2018-07-18 |
| 1124449178 | Tradewinds Optometric Group, Pllc | Optometrist | 594 River Hwy, Mooresville, NC 28117-6829 | 2013-12-18 |
| 1538453550 | Tanya Stefanie Sillato | Pharmacist | 594 River Hwy, Target 1505, Mooresville, NC 28117-6829 | 2011-06-07 |
| 1053485375 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 594 River Hwy, Mooresville, NC 28117-6829 | 2006-11-20 |
| 1194747998 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 594 River Hwy, Mooresville, NC 28117-6829 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1548681406 | David Wichnoski Od Pa | Optometrist | 119 Landing Dr, Ste 105, Mooresville, NC 28117 | 2013-12-19 |
| 1962842807 | Eyes On Lake Norman Optometry, Pa | Optometrist | 134 Mooresville Commons Way, Suite D, Mooresville, NC 28117-8942 | 2013-06-25 |
| 1093040511 | Tarr Optometric, Pllc | Optometrist | 250 Welton Way, Mooresville, NC 28117-8161 | 2009-10-16 |
| 1730363144 | Lake Norman Eye Od Pa | Optometrist | 548 Williamson Rd Ste 1, Mooresville, NC 28117 | 2007-12-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1255477097 | Dawn Ellen Wright | Optometrist | 401 S Indiana St, Suite C, Mooresville, IN 46158-2798 | 2007-01-29 |
| 1467465328 | Hobbs Optometry, Pa | Optometrist | 594 River Highway, Mooresville, NC 28117-6829 | 2006-08-14 |
| 1952325870 | Michael Dwayne Miller | Optometrist | 258 E High St, Mooresville, IN 46158-1638 | 2006-07-26 |
| 1225088503 | David M Noonan | Optometrist | 169 Norman Station Blvd, Mooresville, NC 28117-6396 | 2006-05-10 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.