Pvbollin, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PVBOLLIN, LLC

Doing business as

Pearle Vision

Practice address

3 Malphrus Rd Ste 101
Bluffton, SC 29910-6635

Phone

(843) 837-9222

Fax

(843) 837-9343

NPI assigned

Aug 18, 2018

Last updated

Aug 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily 'Bambi' Childress Bollin, ODNPI 1518066208

Title

OD/ Owner

Phone

(304) 546-3296

Specialties & licenses 1

Addresses

Other names 1

• PEARLE VISION Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily 'Bambi' Childress Bollin, O.D.

  • Optometrist
  • Bluffton, SC
  • NPI 1518066208
  NPD (past) Authorized official

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534550400000",
    "number": "1437639507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CYGNET CT",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261973",
            "telephone_number": "304-546-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MALPHRUS RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106635",
            "telephone_number": "843-837-9222",
            "fax_number": "843-837-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVBOLLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "EMILY 'BAMBI'",
        "authorized_official_middle_name": "CHILDRESS",
        "authorized_official_title_or_position": "OD/ OWNER",
        "authorized_official_telephone_number": "304-546-3296",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Publix Super Markets, Inc (Publix Pharmacy 1714)
• Keith S. Pumroy, M.D.
• Michele Lee Purkey, PA-C
• Charles Jason Putnam, DMD
• Pvbluffton
• R&B Associates Inc. (Coastal Pain and Spine Center)
• Radiology Professional Services, LLC
• Rahco Hilton Head Savannah LLC (Right at Home)
• Ralph Donald Corporation (Right at Home)
• John Ramsay V

• Optometrist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; 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.