Samuel F Boles MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SAMUEL F BOLES MD PC

Doing business as

Anne Arundel Eye Center

Practice address

127 Lubrano Drive
Suite 301
Annapolis, MD 21401-7560

Phone

(410) 224-2010

Fax

(410) 224-3044

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel F Boles, MDNPI 1255338307

Title

Owner

Phone

(410) 224-2010

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Anne Arundel Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Anne Arundel Eye Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Samuel F. Boles MD PC

  • Optometrist
  • Annapolis, MD
  • NPI 1164790531
  NPD tax ID
• Samuel F. Boles, MD P.C

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1013763697
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Frank Boles, M.D.

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1255338307
  Medicare reassignment Authorized official
• Kimberly Anne Deugwillo, OPTOMETRIST

  • Low Vision Rehabilitation Optometrist
  • Towson, MD
  • NPI 1750391579
  Medicare reassignment NPD
• Beth Romedy Howell, FNP

  • Family Nurse Practitioner
  • Annapolis, MD
  • NPI 1689496283
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1396898771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15659",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154051",
            "telephone_number": "410-224-2010",
            "fax_number": "410-224-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DRIVE",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017560",
            "telephone_number": "410-224-2010",
            "fax_number": "410-224-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL F BOLES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-224-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29TZSF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7079",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711502400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anne Arundel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Houses Inc.
• Abhijeet Sambangi, MD
• Heidi Sami, M.D.
• Jill Boyd Samples
• Sams East Inc
• Samuel F. Boles MD PC
• Samuel F. Boles, MD P.C
• Carly Kathleen Sanchez
• John Paul Mercado Sanchez, NP
• Mark A Sanchez, MD

• Ophthalmology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.