Provider Demographics
NPI:1053712240
Name:BOYKIN, PHILLIP C (OD)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:C
Last Name:BOYKIN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1201 RALEIGH RD STE E
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4047
Practice Address - Country:US
Practice Address - Phone:919-942-2320
Practice Address - Fax:919-942-7268
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2023-10-11
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Provider Licenses
StateLicense IDTaxonomies
NC2380152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist