Provider Demographics
NPI:1245377118
Name:FOYLE, MICHAEL A (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:FOYLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S HIGHWAY 101 STE 103
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2219
Mailing Address - Country:US
Mailing Address - Phone:619-481-7262
Mailing Address - Fax:619-481-5096
Practice Address - Street 1:437 S HIGHWAY 101 STE 103
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2219
Practice Address - Country:US
Practice Address - Phone:619-481-7262
Practice Address - Fax:619-481-5096
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5858T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOP5858Medicare PIN