OrganizationActive
Kenneth Boyer OD, Inc
NPI 1164058798 · Optometrist · La Verne, CA
Provider details
- NPI number
- 1164058798
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Kenneth Boyer OD, Inc.
- Organization subpart
- Yes
- Authorized official
- Patricia Daniels, Insurance Coordinator/Biller(909) 596-6756
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2443 Foothill Blvd
La Verne, CA 91750-3028
Phone: (909) 596-6756
Fax: (909) 593-0786
Street-level locationGet directions
Mailing address
2443 Foothill Blvd
La Verne, CA 91750-3028
Additional practice locations (1)
- 1637 N Mountain AveUpland, CA 91784-1732Phone: (909) 982-0100Fax: (909) 985-1552
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2023-11-27
- Certified
- 2020-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.