Provider Demographics
NPI:1174650725
Name:SPECS EYECARE
Entity Type:Organization
Organization Name:SPECS EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-321-7732
Mailing Address - Street 1:2348 WEST CENTRAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042
Mailing Address - Country:US
Mailing Address - Phone:316-321-7732
Mailing Address - Fax:316-320-9680
Practice Address - Street 1:2348 WEST CENTRAL AVE
Practice Address - Street 2:STE B
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042
Practice Address - Country:US
Practice Address - Phone:316-321-7732
Practice Address - Fax:316-320-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1473-3332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies