Provider Demographics
NPI:1871591750
Name:HOYLE, DAVID THOMAS (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:THOMAS
Last Name:HOYLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LONG CIR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3138
Mailing Address - Country:US
Mailing Address - Phone:252-537-6101
Mailing Address - Fax:252-537-6103
Practice Address - Street 1:106 LONG CIR
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3138
Practice Address - Country:US
Practice Address - Phone:252-537-6101
Practice Address - Fax:252-537-6103
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0967152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909419Medicaid
NC246328AMedicare ID - Type Unspecified
NC8909419Medicaid