Teresita a Bollar OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TERESITA A BOLLAR OD PA

Practice address

19013 Biscayne Blvd
Miami, FL 33180-2819

Phone

(305) 935-5250

Fax

(305) 787-4001

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Teresita A Bollar, OD

Title

President

Phone

(305) 935-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1114249216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19013 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802819",
            "telephone_number": "305-935-5250",
            "fax_number": "305-787-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19013 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802819",
            "telephone_number": "305-935-5250",
            "fax_number": "305-787-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESITA A BOLLAR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BOLLAR",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-935-5250",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001540300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.