Provider Demographics
NPI:1932205960
Name:BOYER, CYNTHIA S (OD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:BOYER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:C
Other - Last Name:SPRAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1101 N 2ND ST
Mailing Address - Street 2:REEMA PLAZA
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2539
Mailing Address - Country:US
Mailing Address - Phone:609-909-1992
Mailing Address - Fax:609-909-3797
Practice Address - Street 1:1101 N 2ND ST
Practice Address - Street 2:REEMA PLAZA
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2539
Practice Address - Country:US
Practice Address - Phone:856-825-4242
Practice Address - Fax:856-825-4242
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00512800152W00000X
NJ27TO00067500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ176975Medicare ID - Type Unspecified