Active NPI
Samuel F. Boles MD PC
Doing business as Anne Arundel Eye Center
- Optometrist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SAMUEL F. BOLES MD PC
- Doing business as
- Anne Arundel Eye Center
- Practice address
- 127 Lubrano Dr
Suite 301
Annapolis, MD 21401-7114 - Phone
- (410) 224-2010
- Fax
- (410) 224-3044
- NPI assigned
- Dec 13, 2011
- Last updated
- Nov 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel F Boles, MD
- Title
- Physician/Owner
- Phone
- (410) 224-2010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MD | Primary |
Addresses
Primary practice location
127 Lubrano Dr
Suite 301
Annapolis, MD 21401-7114
Mailing address
PO Box 62084
Baltimore, MD 21264-2084
Phone (443) 481-6524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226611300 | Medicaid | MD |
Other names 1
- Anne Arundel Eye Center
National Provider Directory
National Provider Directory- Tax ID family
- Anne Arundel Eye Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Anne Arundel Eye Center
- Ophthalmology Physician
- Annapolis, MD
- NPI 1396898771
-
dba Anne Arundel Eye Center
- Ophthalmology Physician
- Annapolis, MD
- NPI 1013763697
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Annapolis, MD
- NPI 1255338307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351728000000",
"number": "1164790531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62084",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642084",
"telephone_number": "443-481-6524",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 LUBRANO DR",
"address_2": "SUITE 301",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017114",
"telephone_number": "410-224-2010",
"fax_number": "410-224-3044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL F. BOLES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2012-11-01",
"status": "A",
"authorized_official_last_name": "BOLES",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "410-224-2010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226611300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anne Arundel Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Annapolis, MD
- Abhijeet Sambangi, MD
- Heidi Sami, M.D.
- Jill Boyd Samples
- Sams East Inc (Sams Pharmacy 10-6357)
- Samuel F Boles MD PC (Anne Arundel Eye Center)
- Samuel F. Boles, MD P.C (Anne Arundel Eye Center)
- Carly Kathleen Sanchez
- John Paul Mercado Sanchez, NP
- Mark A Sanchez, MD
- Sandel Center for Facial Plastic Surgery LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.