Organization Active NPI

Boland Eye Center PC

  • Specialist
  • Savannah, GA
National Provider Identifier
1013910918
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BOLAND EYE CENTER PC
Practice address
1615 E Montgomery Cross Rd
Savannah, GA 31406-5056
Phone
(912) 352-2299
Fax
(912) 352-0012
NPI assigned
May 24, 2005
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Ms. Sandra U Lamb
Title
Financial Director
Phone
(912) 352-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1615 E Montgomery Cross Rd
Savannah, GA 31406-5056

Mailing address

PO Box 13827
Savannah, GA 31416-3827
Phone (912) 352-2299

Other identifiers 1

IdentifierTypeStateIssuer
GRP3079OtherGAMEDICARE-PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000585 GA Part B Supplier - Clinic/Group Practice 6800784893 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1013910918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13827",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314163827",
            "telephone_number": "912-352-2299",
            "fax_number": "912-352-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E MONTGOMERY CROSS RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065056",
            "telephone_number": "912-352-2299",
            "fax_number": "912-352-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "912-352-2299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PART B",
            "identifier": "GRP3079",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.