Michael R Boland in Clarks Summit - Optometrist
Michael R Boland - NPI 1962414078
Michael R Boland is a Optometrist in Clarks Summit, Pennsylvania. Michael R Boland practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael R Boland is 1962414078. The last update date is 2022-12-01.
Michael R Boland's current location address is 503 S State St, Clarks Summit, Pennsylvania. You can contact this provider via phone number 5705875186 and fax number 5705867973. The mailing address for Michael R Boland is 503 S State St, Clarks Summit, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Boland |
|---|---|
| Address | 503 S State St, Clarks Summit, Pennsylvania |
| Phone Number | 5705875186 |
| Fax Number | 5705867973 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1962414078 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2022-12-01 |
Provider Mailing Address Detail
| Address | 503 S State St |
|---|---|
| City | Clarks Summit |
| State | Pennsylvania (PA) |
| Post Code | 18411 |
| Phone Number | 5705875186 |
| Fax Number | 5705867973 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG000077 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1699824 | PA | -- | |
| 180033988 | RAILROAD MEDICARE | ||
| BO975359 | HIGH MARK BLUE SHIELD | ||
| 49959 | GEISINGER HEALTH PLAN | ||
| 506554 | AETNA | ||
| 806719 | FIRST PRIORITY HEALTH |
Post Comment/ Review Below
What is the Michael R Boland's unique identification number?
The Michael R Boland has been assigned the NPI (National Provider Identifier) Number 1962414078 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Michael R Boland is located?
The Michael R Boland is situated at the following address: 503 S State St, Clarks Summit, PA, 18411.
What is Michael R Boland's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael R Boland is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When was the Michael R Boland's 1962414078 issued?
The Michael R Boland's 1962414078 was issued on 2006-08-13.
As of what date were the details related to Michael R Boland most recently updated or revised?
The information pertaining to Michael R Boland, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-01.
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