NPIMap

Organization Active NPI

Samuel F. Boles, MD P.C

  • Ophthalmology Physician
  • Annapolis, MD
National Provider Identifier
1013763697
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SAMUEL F. BOLES, MD P.C
Practice address
127 Lubrano Dr Ste 301
Annapolis, MD 21401-7560
Phone
(410) 224-2010
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Samuel Frank Boles, MDNPI 1255338307
Title
Owner
Phone
(410) 224-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

127 Lubrano Dr Ste 301
Annapolis, MD 21401-7560

Mailing address

PO Box 15659
Belfast, ME 04915-4051
Phone (410) 224-2010

Other names 1

  • Anne Arundel Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Eye Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1013763697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15659",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154051",
            "telephone_number": "410-224-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DR STE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017560",
            "telephone_number": "410-224-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL F. BOLES, MD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-224-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.