Kylene A Polhamus (NPI# 1427464890, PAC ID# 7810117728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1427464890 |
| PAC ID by PECOS | 7810117728 |
| Professional Enrollment ID | I20140926002007 |
| Full Name | Kylene A Polhamus |
| Organization Legal Name | BOLING VISION CENTER, LLC |
| Address |
2746 Old Us 20 Suite B Elkhart IN 46514-1365 |
| Phone Number | 5742933545 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6103921556 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 | 5742933545 | BOLING VISION CENTER, LLC |
| 2746 Old Us 20 W C, Elkhart, IN 46514-1365 | 5742938366 | BOLING VISION CENTER, LLC |
| 1615 Winsted Dr, Suite 1, Goshen, IN 46526-4696 | 5742933545 | BOLING VISION CENTER, LLC |
| Organization Legal Name | BOLING VISION CENTER, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly May Cooper | Optometry | Boling Vision Center, LLC | 17900 Ireland Rd, South Bend, IN 46614-3050 |
| Paul S Szewczyk | Ophthalmology | Boling Vision Center, LLC | 2004 Edison Rd A, South Bend, IN 46617-1712 |
| Megan N Heil | Ophthalmology | Boling Vision Center, LLC | 2746 Old Us 20 W C, Elkhart, IN 46514-1365 |
| Amy Layman | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Richard C Boling Ii | Ophthalmology | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Calvin D Boots | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Whitney S Boling | Ophthalmology | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| William Z King | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Cristelle E Buisse | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Kevin H Egan | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Street Address |
2746 OLD US 20 SUITE B |
| City | ELKHART |
| State | IN |
| Zip | 46514-1365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Layman | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Richard C Boling Ii | Ophthalmology | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Calvin D Boots | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Whitney S Boling | Ophthalmology | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| William Z King | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Cristelle E Buisse | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Kevin H Egan | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Mark A Walker Jr. | Optometry | Boling Vision Center, LLC | 2746 Old Us 20, Suite B, Elkhart, IN 46514-1365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joann E Marinkovich-davidson | Nurse Practitioner | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Carolyn M Barbus | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Jon B Smucker | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Scott C Mclaughlin | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| John M Kelbel | Orthopedic Surgery | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in zip 46514 | |||
| City | ELKHART |
| Zip Code | 46514 |
| Specialty | OPTOMETRY |
| City + Specialty | ELKHART + OPTOMETRY |
Please comment or provide details below to improve the information on Kylene A Polhamus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.