Individual provider Active NPI

Thomas S Boland, MD

  • Ophthalmology Physician
  • Scranton, PA
National Provider Identifier
1174635924
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD050762L Issued in PA
Practice address
200 Mifflin Ave
Scranton, PA 18503-1982
Phone
(570) 342-3145
Fax
(570) 344-1309
NPI assigned
Aug 31, 2006
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD050762L PA Primary

Addresses

Primary practice location

200 Mifflin Ave
Scranton, PA 18503-1982

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528

Other identifiers 6

IdentifierTypeStateIssuer
808091OtherFIRST PRIORITY HEALTH
BO196826OtherHIGH MARK BLUE SHIELD
506554OtherAETNA
180035485OtherRAILROAD MEDICARE
001735395MedicaidPA
42487OtherGEISINGER HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000804 PA Practitioner - Ophthalmology 0547164451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

170 Boston Ave
West Pittston, PA 18643-2724
Phone (570) 602-1010

190 Welles St
Forty Fort, PA 18704-4968
Phone (570) 718-0590

200 Mifflin Ave
Scranton, PA 18503-1982
Phone (855) 204-6888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Innovation Centers of Pennsylvania LLC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC CurrentSince Aug 1, 2021 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Ophthalmology Current Accepting new patients
Nei Ambulatory Surgery Center Inc PC PastSince Dec 6, 2004 Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

40 Dallas Village Shopping Ctr
Dallas, PA 18612
Phone (570) 674-9001

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405

200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145

204 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145

170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010

Interoperability endpoints

  • Direct secure messaging: thomas.boland@vip.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1174635924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "667-354-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIFFLIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031982",
            "telephone_number": "570-342-3145",
            "fax_number": "570-344-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD050762L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "808091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK BLUE SHIELD",
            "identifier": "BO196826",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "506554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180035485",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001735395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "42487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.