Michael R Boland, OD is a medicare enrolled "Optometrist" provider in Clarks Summit, Pennsylvania. He went to Pennsylvania College Of Optometry and graduated in 1998 and has 27 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Vision Innovation Centers Of Pennsylvania Llc and his current practice location is
503 S State St, Clarks Summit, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 587-5186.
Michael R Boland is licensed to practice in Pennsylvania (license number OEG000077) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962414078.
Healthcare Provider's Profile
| Full Name | Michael R Boland |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 27 Years |
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| Location | 503 S State St, Clarks Summit, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael R Boland attended and graduated from Pennsylvania College Of Optometry in 1998
NPI Data:
- NPI Number: 1962414078
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 09/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123062619
- Enrollment ID: I20050615000635
Medical Identifiers
Medical identifiers for Michael R Boland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962414078 | NPI | - | NPPES |
| 49959 | Other | | GEISINGER HEALTH PLAN |
| 180033988 | Other | | RAILROAD MEDICARE |
| 001699824 | Medicaid | PA | |
| BO975359 | Other | | HIGH MARK BLUE SHIELD |
| 806719 | Other | | FIRST PRIORITY HEALTH |
| 506554 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG000077 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vision Innovation Centers Of Pennsylvania Llc | 0840625349 | 76 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael R Boland allows following entities to bill medicare on his behalf.
| Provider Name | Vision Innovation Centers Of Pennsylvania Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962046458
PECOS PAC ID: 0840625349
Enrollment ID: O20200110000050 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael R Boland is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael R Boland, OD
2661 Riva Rd Ste 1030,
Annapolis, MD 21401-7131
Ph: (410) 571-8733 | Michael R Boland, OD
503 S State St,
Clarks Summit, PA 18411-1557
Ph: (570) 587-5186 |
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