Provider Demographics
NPI:1619431723
Name:L & J BOYD ENTERPRISES, LLC
Entity Type:Organization
Organization Name:L & J BOYD ENTERPRISES, LLC
Other - Org Name:CAROLINA MOBILE OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-779-2891
Mailing Address - Street 1:390 NUMBER NINE ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730
Mailing Address - Country:US
Mailing Address - Phone:828-779-2891
Mailing Address - Fax:828-628-2891
Practice Address - Street 1:390 NUMBER NINE ROAD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730
Practice Address - Country:US
Practice Address - Phone:828-779-2891
Practice Address - Fax:828-628-2891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:L & J BOYD ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-23
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty