Teresita A Bollar

Primary specialty

OptometristTaxonomy code 152W00000X

License

4426 Issued in FL

Practice address

19013 Biscayne Blvd
Miami, FL 33180-2819

Phone

(305) 935-5250

NPI assigned

Aug 11, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresita.bollarod.p1@direct.araneyeassociates.nextgenshare.com

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.

• Style Site Optical

  • Durable Medical Equipment & Medical Supplies
  • Aventura, FL
  • NPI 1053132027

  Optometrist

  Medicare reassignment NPD Authorized official
• Surgery Center of Coral Gables LLC

  • Ambulatory Surgical Clinic/Center
  • Coral Gables, FL
  • NPI 1487627642
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1154553097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19013 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802819",
            "telephone_number": "305-935-5250"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11241 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331654477",
            "country_code": "US",
            "telephone_number": "786-431-1625",
            "fax_number": "786-431-1782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 SW 130th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753417",
            "country_code": "US",
            "telephone_number": "305-455-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLAR",
        "first_name": "TERESITA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4426",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001540300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector H Bolivar, MD
• Isabella Jose Bolivar
• Luz Bolivar
• Ramon Ron Bolivar, RBT-23-318881
• Rosalba Bolivar, R.D.,LD LN
• Paulina Bollat Orbea, LCSW
• Marco Teodoro Bologna, MD
• Bolt Performance Therapy LLC
• J Arthur Bolt
• Cassandra Boltman

• 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 Nov 9, 2024; 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.