Nicholas R. Bollin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1463 Issued in SC

Practice address

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635

Phone

(843) 837-9222

Fax

(843) 837-4474

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 4)

Networks

• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Stephen L. Gaal & Associates

  • Optometrist
  • Charleston, WV
  • NPI 1356501837
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1003831371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-9222",
            "fax_number": "843-837-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-9222",
            "fax_number": "843-837-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIN",
        "first_name": "NICHOLAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002419",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "511I410154",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "511G701032",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA62946830",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "6830",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895091476D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "DA9680",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14633",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00684230",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895091476F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Blusewicz, MD
• BNC Holdings LLC
• Cindi Boderman
• Riley Boehm, RPH
• Emily 'Bambi' Childress Bollin, O.D.
• Joel Bond, DPT
• Elizabeth Bonds
• Virginia M Boney, PH.D., LMFT, LMHC
• Alexandra Bonhag, DC
• Victoria Ann Bonnell, LISW-CP

• All providers in Bluffton, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.