| Richard Clayton Boling Ii, MD | |
|
2746 Old Us 20 W, Elkhart, IN 46514-1364 | |
| (574) 293-3545 | |
| (574) 522-0599 |
| Full Name | Richard Clayton Boling Ii |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 43 Years |
| Location | 2746 Old Us 20 W, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245278068 | NPI | - | NPPES |
| 100113350A | Medicaid | IN | |
| P00442880 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01032196 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boling Vision Center, Llc | 6103921556 | 12 |
| Entity Name | Boling Vision Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003851445 PECOS PAC ID: 6103921556 Enrollment ID: O20070413000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Clayton Boling Ii, MD 2746 Old Us 20 W, Elkhart, IN 46514-1364 Ph: (574) 293-3545 | Richard Clayton Boling Ii, MD 2746 Old Us 20 W, Elkhart, IN 46514-1364 Ph: (574) 293-3545 |
Dr. James E. Gluckin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2222 W Lexington Ave, Elkhart, IN 46514 Phone: 574-294-3030 Fax: 574-294-3544 | |
Tiffany Nicole Szymarek, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1628 W Beardsley Ave, Elkhart, IN 46514 Phone: 574-391-1020 Fax: 574-391-1021 | |
Whitney Boling, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2746 Old Us 20 W, Ste B, Elkhart, IN 46514 Phone: 574-293-3545 Fax: 574-522-0599 | |
Kenneth W Abbott, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2222 W Lexington Ave, Elkhart, IN 46514 Phone: 574-294-3030 Fax: 574-294-3544 |