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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH ANDREW BOYLE SR. OD
NPI 1184673576
Optometrist in Mentor, OH

Active since May 10, 2006PECOS Enrolled
7875 JOHNNY CAKE RIDGE RD, GREAT LAKES MALL, MENTOR, OH 44060(440) 255-2176(440) 255-1094 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Andrew Boyle Sr. Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH ANDREW BOYLE SR. OD (NPI 1184673576) is an individual optometrist in Mentor, Ohio, licensed in Ohio (2758) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184673576
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNETH ANDREW BOYLE SR.Credential: OD
Location Address7875 JOHNNY CAKE RIDGE RD, GREAT LAKES MALLMentor, OH 44060-5529
Mailing Address7875 Johnny Cake Ridge Rd, Great Lakes MallMentor, OH 44060-5529 · (440) 255-2176 · Fax (440) 255-1094
Phone(440) 255-2176
Fax(440) 255-1094
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1184673576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 2758
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7875 JOHNNY CAKE RIDGE RD, Mentor, OH 44060
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Other Identifiers 1

Medicaid0002124OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Andrew Boyle Sr. Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Boyle's NPI number?

The NPI number for Kenneth Boyle is 1184673576. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Kenneth Boyle located?

Kenneth Boyle practices at 7875 Johnny Cake Ridge Rd Great Lakes Mall, Mentor, OH 44060. The listed phone number is (440) 255-2176.

What is Kenneth Boyle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kenneth Boyle enrolled in Medicare?

Yes. Kenneth Boyle is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Boyle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 9 other insurers list Kenneth Boyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Boyle was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.