Provider Demographics
NPI:1104847730
Name:DR. FARIN G. BOYLE, P.A.
Entity Type:Organization
Organization Name:DR. FARIN G. BOYLE, P.A.
Other - Org Name:SILVERLAKES EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-257-0763
Mailing Address - Street 1:18263 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1419
Mailing Address - Country:US
Mailing Address - Phone:954-433-1234
Mailing Address - Fax:954-433-1233
Practice Address - Street 1:18263 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1419
Practice Address - Country:US
Practice Address - Phone:954-433-1234
Practice Address - Fax:954-433-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC003758152W00000X
GAOPT001988152W00000X
NY006647152W00000X
HIOD-599152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU93598Medicare UPIN
FLE8728ZMedicare ID - Type Unspecified