| Michael R Boland, OD | |
|
503 S State St, Clarks Summit, PA 18411-1557 | |
| (570) 587-5186 | |
| (570) 586-7973 |
| Full Name | Michael R Boland |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 28 Years |
| Location | 503 S State St, Clarks Summit, Pennsylvania |
| 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 |
|---|---|---|---|
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000077 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vision Innovation Centers Of Pennsylvania Llc | 0840625349 | 85 |
| Provider Name | Vision Innovation Centers Of Pennsylvania Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962046458 PECOS PAC ID: 0840625349 Enrollment ID: O20200110000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Boland, OD 2661 Riva Rd Ste 1030, Annapolis, MD 21401-7131 Ph: (667) 354-5528 | Michael R Boland, OD 503 S State St, Clarks Summit, PA 18411-1557 Ph: (570) 587-5186 |
Dr. Sherry L Winn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 W Grove St, Suite 1-c, Clarks Summit, PA 18411 Phone: 570-586-3228 Fax: 570-586-3524 | |
Dr. Frank R. Rively, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13004 Valley View Dr, Clarks Summit, PA 18411 Phone: 570-587-4283 Fax: 570-587-4283 | |
Gary Michael Pisanchyn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 503 S State St, Clarks Summit, PA 18411 Phone: 570-587-5186 |