| Dr Dwight D Boyd, OD | |
|
546 Lakeland Plz, Cumming, GA 30040-2782 | |
| (678) 208-2393 | |
| (678) 208-0851 |
| Full Name | Dr Dwight D Boyd |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 546 Lakeland Plz, Cumming, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346366135 | NPI | - | NPPES |
| 205684219 | Other | GA | TAXPAYER IDENTIFICATION |
| 003143234C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1232 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thomas Eye Group Pc | 2567455868 | 51 |
| Provider Name | Thomas Eye Group PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548271992 PECOS PAC ID: 2567455868 Enrollment ID: O20040405000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dwight D Boyd, OD 546 Lakeland Plz, Cumming, GA 30040-2782 Ph: (678) 208-2393 | Dr Dwight D Boyd, OD 546 Lakeland Plz, Cumming, GA 30040-2782 Ph: (678) 208-2393 |
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