MICHAEL R BOLAND (NPI# 1962414078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962414078 |
| Entity Type | Individual |
| Full Name | MICHAEL R BOLAND |
| Credential | OD |
| Practice Address |
503 S State St Clarks Summit PA 18411 |
| Mailing Address |
200 Mifflin Ave Scranton PA 18503 |
| Practice Telephone | 5705875186 |
| Practice Fax Number | 5705867973 |
| Mailing Telephone | 5703423145 |
| Mailing Fax Number | 5703441309 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000077 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 506554 | 01 | |
| HIGH MARK BLUE SHIELD | BO975359 | 01 | |
| PA | 001699824 | 05 | |
| FIRST PRIORITY HEALTH | 806719 | 01 | |
| GEISINGER HEALTH PLAN | 49959 | 01 | |
| RAILROAD MEDICARE | 180033988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891101861 | Michael Boland | Counselor | 4220 N Grand Blvd, Saint Louis, MO 63107-1831 | 2014-07-10 |
| 1689770273 | Michael Robert Boland | Orthopaedic Surgery | 740 S Limestone, Lexington, KY 40536-0001 | 2006-09-15 |
| 1104867936 | Michael J Boland | Internal Medicine | 255 Baptist Blvd, Suite 402, Columbus, MS 39705 | 2006-06-10 |
| 1023074143 | Michael V Boland | Ophthalmology | 800 Huntington Ave, Boston, MA 02115-6303 | 2006-04-26 |
| 1548224249 | Michael F Boland | Neurological Surgery | 232 S Woods Mill Rd, Suite 400 East, Chesterfield, MO 63017-3417 | 2006-04-12 |
| Street Address |
503 S STATE ST |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049069 | Stanley W Boland | Ophthalmology | 503 S State St, Clarks Summit, PA 18411 | 2006-08-31 |
| 1447362272 | Mary Jennifer Frattali | Ophthalmology | 503 S State St, Clarks Summit, PA 18411 | 2006-08-31 |
| 1366558686 | Optical Nei Inc | Eyewear Supplier (Equipment, not the service) | 503 S State St, Clarks Summit, PA 18411-1557 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548579451 | Frank R. Rively | Optometrist | 13004 Valley View Dr, Clarks Summit, PA 18411-9689 | 2010-09-27 |
| 1356317770 | Sherry L Winn | Optometrist | 301 W Grove St, Suite 1-c, Clarks Summit, PA 18411-2090 | 2006-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
| 1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
| 1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
| 1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
Please comment or provide details below to improve the information on MICHAEL R BOLAND.
| 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.