Kathleen Joan Boland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002020286 Issued in MO

Practice address

7840 Natural Bridge Rd
Patient Care Center
Saint Louis, MO 63121-4617

Phone

(314) 516-5131

Fax

(314) 516-5507

NPI assigned

Aug 24, 2006

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Louis Society for the BlindGroup PAC ID 9739478439, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleenboland@direct.eyecare-partners.com

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

• St Louis Society for the Blind

  • Low Vision Rehabilitation Optometrist
  • Saint Louis, MO
  • NPI 1942661186
  Medicare reassignment Care Compare group NPD
• Curators of the University of Missouri

  dba Center for Eye Care

  • Optometrist
  • Saint Louis, MO
  • NPI 1679664718
  Medicare reassignment NPD
• Curators of the University of Missouri

  dba Center for Eye Care

  • Optometrist
  • Saint Louis, MO
  • NPI 1922190198
  Medicare reassignment NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment
• Curators of the University of Missouri

  dba Community Psychological Service

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1285877134
  NPD
• Curators of the University of Missouri

  dba Mizzou Pharmacy - Southwest Blvd

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1740083641
  NPD
• Delta Gamma Center for Children With Visual Impairments

  • Customized Equipment (DME)
  • Richmond Heights, MO
  • NPI 1780711192
  NPD (past)
• St. Louis Society for the Blind

  dba St. Louis Society for the Blind and Visually Impaired

  • Voluntary or Charitable Agency
  • Saint Louis, MO
  • NPI 1710358957
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1093822389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63121",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 NATURAL BRIDGE RD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214617",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083204",
            "country_code": "US",
            "telephone_number": "314-516-5016",
            "fax_number": "314-535-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S Big Bend Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631172402",
            "country_code": "US",
            "telephone_number": "314-776-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8770 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442724",
            "country_code": "US",
            "telephone_number": "314-968-9000",
            "fax_number": "314-968-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "KATHLEEN",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002020286",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "2002020286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Jan Bok, MD
• Michelle Dawn Bokermann
• Amber Mahmood Bokhari, MD
• Shehryar Bokhari, AA
• Kali Boland, DPT
• Kelly Minnette Boland, PHD
• Matthew E Boland, MD
• Michael Boland
• Nora Ann Boland II
• Patrick J Boland, PHARM.D.

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.