JESSICA NOELLE BOLTON (NPI# 1073810388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073810388 |
| Entity Type | Individual |
| Full Name | JESSICA NOELLE BOLTON |
| Other Name | JESSICA NOELLE LEUSCHEN |
| Credential | M.D. |
| Practice Address |
307 Boatner Rd Suite 114 Eglin Afb FL 32542-1302 |
| Mailing Address |
307 Boatner Rd Eglin Afb FL 32542-1302 |
| Practice Telephone | 8508838600 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 26978 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457669079 | Jessica Bolton | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2010-09-16 |
| 1104398833 | Jessica Marie Bolton | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-12-19 |
| 1215186127 | Jessica L Bolton | Counselor | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2008-09-16 |
| Street Address |
307 BOATNER RD SUITE 114 |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618987 | Clarence E Pearson | Internal Medicine | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1302 | 2005-06-08 |
| 1821600024 | David George Morrison Jr. | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-08-19 |
| 1679185250 | Peter Andrew Watters | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-08-17 |
| 1558981365 | Kassandra Martinez-campos | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-04-22 |
| 1023638830 | Chanute Lockhart | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-04-22 |
| 1801434964 | Bryan Meek | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-12-19 |
| 1710525936 | Kaitlin Dickson | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-12-18 |
| 1376186213 | Kayle Elizabeth Southerland | Military Health Care Provider | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-10-23 |
| 1902452063 | Justin Michael Rhoads | Pharmacist | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-08-14 |
| 1295389609 | Joseph Clarence Smith Jr. | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.