Bollin Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC1463 Issued in SC

Legal business name

BOLLIN OPTOMETRY LLC

Practice address

149 Riverwalk Blvd
Ridgeland, SC 29936-8190

Phone

(304) 382-2542

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Bollin, OD

Title

Optometrist

Phone

(304) 382-2542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1164732574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "304-382-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "304-382-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLLIN OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "304-382-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biopsy Diagnostics, P.C.
• Biopsy Diagnostics, P.C.
• Bluffton Okatie Counseling Center, LLC
• Angela Fay Bolden
• Ashley L Bolden
• Earl Bostick Sr., DMD
• Kelvin Bostick, D.D.S
• Courtney Anne Bostjancic, D.C.
• Michael John Bostjancic, D.C.
• Joann Lynn Brazil, APRN

• Optometrist in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.