Organization Active NPI

Michael Bollish, O.D. P.C.

  • Optometrist
  • Garland, TX
National Provider Identifier
1396924494
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3918 Issued in TX
Legal business name
MICHAEL BOLLISH, O.D. P.C.
Practice address
6850 North Shiloh Road Ste T
Garland, TX 75044-2918
Phone
(972) 414-0444
Fax
(972) 414-5663
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Michael James Bollish, O.D.
Title
President
Phone
(972) 414-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3918 TX Primary

Addresses

Primary practice location

6850 North Shiloh Road Ste T
Garland, TX 75044-2918

Mailing address

6850 N Shiloh Road Suite T
Garland, TX 75044-2918
Phone (972) 414-0444

National Provider Directory

National Provider Directory

Locations

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1396924494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N SHILOH ROAD SUITE T",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442918",
            "telephone_number": "972-414-0444",
            "fax_number": "972-414-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 NORTH SHILOH ROAD STE T",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442918",
            "telephone_number": "972-414-0444",
            "fax_number": "972-414-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOLLISH, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BOLLISH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-414-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.