DR. MARK RICHARD BOLSTEIN (NPI# 1255344388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255344388 |
Entity Type | Individual |
Full Name | DR. MARK RICHARD BOLSTEIN |
Credential | O.D. |
Practice Address |
600 Montgomery Mall North Wales PA 19454-3912 |
Mailing Address |
686 Misty Hollow Dr Maple Glen PA 19002-2335 |
Practice Telephone | 2153618282 |
Practice Fax Number | 2153620528 |
Mailing Telephone | 2152832565 |
Mailing Fax Number | 2153620528 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2010-11-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OET008974 | PA | Eye and Vision Services Providers |
Street Address |
600 MONTGOMERY MALL |
City | NORTH WALES |
State | PA |
Zip Code | 19454-3912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396062220 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 600 Montgomery Mall, North Wales, PA 19454-3912 | 2010-05-03 |
1184771511 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 600 Montgomery Mall, North Wales, PA 19454-3912 | 2007-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295258960 | Stephanie Dalzon | Contractor | 700 Lower State Rd Apt Th20, North Wales, PA 19454 | 2017-07-24 |
1457723611 | Stacey Kirchein | Dietitian, Registered | 700 Lower State Rd, Apt 18a1, North Wales, PA 19454 | 2015-10-28 |
1902289713 | Nani Rivera-cox | Marriage & Family Therapist | 217 Church Road, North Wales, PA 19454 | 2015-06-30 |
1104254812 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 167 Montgomery Mall, North Wales, PA 19454 | 2013-10-16 |
1023367323 | Wholistics / Wholistic Fitness LLC | Psychologist | 217 Church Rd Suite B, North Wales, PA 19454 | 2012-08-31 |
1396075925 | Mary M Oconnor | Occupational Therapist | 102 West Walnut St., North Wales Hand Rehabilitation, North Wales, PA 19454 | 2010-01-04 |
1104155050 | Laurie F Langbein | Counselor | 101 Chamberlain Cir, North Wales, PA 19454 | 2009-12-23 |
1235397225 | Jennifer Gail Duncan | Dentist | 298 Wissahickon Avenue, Suite 3, North Wales, PA 19454 | 2008-05-28 |
1811101967 | Angel Wahib Elbardissi | Dentist | 210 Stump Rd, North Wales, PA 19454 | 2007-05-09 |
1336361963 | Arlene M. Lavner | Counselor | 1233 Laura Lane, North Wales, PA 19454 | 2007-05-03 |
Find all providers in zip 19454 |
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 |
---|---|---|---|---|
1235511171 | Pius Seong Jung | Optometrist | 708 Susan Cir, North Wales, PA 19454-1420 | 2015-06-28 |
1619043668 | Alan Bruce Ostroff | Optometrist | 108 Village Dr, North Wales, PA 19454-1719 | 2006-11-28 |
1063598852 | Ira Lippman | Optometrist | 205 Montgomery Mall, North Wales, PA 19454 | 2006-10-27 |
1518060482 | Georgietta R Gdovin | Optometrist | 101 Montgomery Mall, North Wales, PA 19454 | 2006-09-06 |
1326084450 | Juhee J Hwang | Optometrist | 740 Upper State Rd, North Wales, PA 19454-1403 | 2006-06-20 |
1174575740 | Alan Marc Rosenberg | Optometrist | 26 Airport Sq, North Wales, PA 19454-1419 | 2006-05-16 |
1023076684 | Laurie Simmonds | Optometrist | 26 Airport Square Shopping Center, North Wales, PA 19454 | 2006-05-03 |
1033256649 | Jeffrey L Varner | Optometrist | 116 S Main St, North Wales, PA 19454-2833 | 2007-01-31 |
1760437511 | Dr. Alan M. Rosenberg | Optometrist | 26 Airport Sq, North Wales, PA 19454-1419 | 2006-05-23 |
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 | NORTH WALES |
Zip Code | 19454 |
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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.