Haley Bolden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3797 Issued in TN

Practice address

6719 Maynardville Pike
Knoxville, TN 37918-5308

Phone

(865) 922-3937

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Southern College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Steven Malone, O.D.P.C.Group PAC ID 4284754987, 2 clinicians

Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• George Steven Malone, O.D.P.C.

  • Optometrist
  • Tazewell, TN
  • NPI 1427162338
  Medicare reassignment Care Compare group NPD
• Aria Eye Care, LLC

  dba Aria Eye Care, PLLC

  • Optometrist
  • Omaha, NE
  • NPI 1437436599

  TN

  Medicare reassignment Care Compare group NPD
• Steven D. Elliott, O.D. & Associates, Inc.

  dba Volunteer Eye Care, Clinton

  • Optometrist
  • Clinton, TN
  • NPI 1609231752
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1225739691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 VINTAGE POINTE WAY APT 117",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185308",
            "telephone_number": "865-922-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "HALEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqualyn Danielle Boivin
• Kamran Boka, MD
• Nicole Denise Boland, MD
• Pamela Louise Boland
• Christopher Shawn Bolden
• Jennifer Bolden, PH.D.
• Samantha Kay Boldin, PHARMD
• Jean Ann Bolding, LCSW
• Amy Boles
• Dharma Caylin Boles, BS

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.