Kenneth Boyer Od, Inc
Kenneth Boyer Od, Inc is a healthcare organization registered as Optometrist in La Verne, CA, holding Type 2 (organization) NPI 1164058798 since 2020. The authorized official on file is Patricia Daniels, Insurance Coordinator/Biller.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1164058798 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kenneth Boyer Od, Inc |
| Parent organization | Kenneth Boyer Od, Inc. |
| Practice address | 2443 FOOTHILL BLVD, La Verne, CA, 91750 |
| Phone | 9095966756 |
| Fax | 9095930786 |
| Enumeration date | 2020-03-16 |
| Last updated in NPPES | 2023-11-27 |
Authorized official
| Name | Patricia Daniels |
|---|---|
| Title | Insurance Coordinator/Biller |
| Phone | 9095966756 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD000651 | Medicaid | CA | — |
Copy-ready billing details
Provider: Kenneth Boyer Od, Inc NPI: 1164058798 Taxonomy: 152W00000X (Optometrist) Address: 2443 FOOTHILL BLVD, La Verne, CA, 91750
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801961453 | Kenneth Boyer | Individual | Optometrist | La Verne, CA |
| 1316012834 | Dr. Kenneth Boyer, O.D., Inc | Organization | Optometrist | La Verne, CA |
| 1215341896 | Brian Boyer | Individual | Optometrist | La Verne, CA |
| 1801726369 | Dr. Kim Optometry Inc | Organization | Optometrist | La Verne, CA |
Verify this record
Cross-check NPI 1164058798 against the authoritative CMS record: view Kenneth Boyer Od, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-27.