Richard Clayton Boling II, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01032196 Issued in IN

Practice address

2746 Old US 20 W
Elkhart, IN 46514-1364

Phone

(574) 293-3545

Fax

(574) 522-0599

NPI assigned

Jun 3, 2006

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boling Vision Center LLCGroup PAC ID 6103921556, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.44 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boling Vision Center, LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1003851445
  Medicare reassignment Care Compare group NPD Authorized official
• Boling Vision Center, LLC

  • Eyewear Supplier
  • Goshen, IN
  • NPI 1467585885
  NPD Authorized official
• Boling Vision Center, LLC

  • Eyewear Supplier
  • Elkhart, IN
  • NPI 1336272673
  Authorized official Same address or phone
• United Surgeons LLC

  dba Unity Surgical Arts

  • Ambulatory Surgical Clinic/Center
  • Mishawaka, IN
  • NPI 1891787321
  Authorized official Same address or phone
• Elkhart Day Surgery, LLC

  dba Insight Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Elkhart, IN
  • NPI 1750668190
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1245278068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "RICHARD",
        "middle_name": "CLAYTON",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01032196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113350A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00442880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine C Blum, LCSW
• Mabel A. Blunk, M.D.
• Jan Michael Boehringer, OD
• Boling Vision Center, LLC
• Boling Vision Center, LLC
• Whitney Boling, M.D.
• Bon Homie, Inc
• Mae Bond
• Bonhomie Counseling Corp
• Carol L. Bonsignore, PHARM D

• Ophthalmology Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.