Individual provider Active NPI

Timothy Alex Bolch, OD

  • Student in an Organized Health Care Education/Training Program
  • Taylorsville, NC
National Provider Identifier
1104754241
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
174 Bolick LN
Taylorsville, NC 28681-4052
Phone
(828) 495-1234
NPI assigned
May 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC Primary

Addresses

Primary practice location

174 Bolick LN
Taylorsville, NC 28681-4052

Mailing address

174 Bolick LN
Taylorsville, NC 28681-4052
Phone (828) 495-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision First Optometry PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1104754241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286814052",
            "telephone_number": "828-495-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286814052",
            "telephone_number": "828-495-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLCH",
        "first_name": "TIMOTHY",
        "middle_name": "ALEX",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.