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Deactivated NPI 1770830531 Deactivated / Inactive NPI Male Practitioner

Dr. Paul R. Boyt , OD

Optometrist • Marion, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Boyt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2012
NPI Deactivation Date December 11, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Boyt, OD was a registered Optometrist practicing in Marion, IL. Throughout an active medical career spanning 13 years, Dr. Boyt provided care at the practice location at 2802 OUTER DR until profile deactivation on 2025-12-11.

Practice Location & Contact Primary Location

Practice Address

2802 Outer Dr

Marion, IL 629595207

Telephone 6189971081
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1639196991

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
23 Specialists

Practicing in Marion, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.006519

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1518319029

Doctor of Optometry

NPI 1891847729

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

NPI Profile Active August 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2012

Registered at 2802 OUTER DR, MARION, IL 629595207 (Tel: 6189971081)

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Updated Business Mailing Address August 12, 2012

Registered at 509 BAINBRIDGE RD, MARION, IL 629591305 (Tel: 6189988928)

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Provider Name / Credentials Updated August 12, 2012

Recorded as PAUL BOYT, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2012

Optometrist (License #046.006519 in IL)

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Initial NPI Registration & Enumeration August 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770830531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2012
Last Update: August 12, 2012
Deactivation Date: December 11, 2025

Mailing Address

509 Bainbridge Rd

Marion, IL 629591305

Phone: 6189988928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.