Carla Darak-Bolino, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4982/T1852 Issued in OH

Practice address

3921 E Market St
Building III Second Floor
Warren, OH 44484-4711

Phone

(330) 856-3300

Fax

(330) 856-4539

NPI assigned

Aug 10, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lee Eye Center IncGroup PAC ID 6507827151, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lee Eye Center Inc

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1023187630
  Medicare reassignment Care Compare group NPD
• Dr Bloomberg Eye Clinic

  dba Bloomberg Eyecare

  • Optometrist
  • Boardman, OH
  • NPI 1326290594
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1467454405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BOARDMAN POLAND RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124601",
            "telephone_number": "330-758-6671",
            "fax_number": "330-758-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E MARKET ST",
            "address_2": "BUILDING III SECOND FLOOR",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844711",
            "telephone_number": "330-856-3300",
            "fax_number": "330-856-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAK-BOLINO",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4982/T1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2455927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Daniels
• Kelly Rena Daniels, LICDCII
• Joseph Danko
• Theron Dannemiller
• Susan Danser, M.S., L.P.C.C.
• Nicolette C Darkangelo, LSW, MSW
• Corrie L Darocha, LPCC-S
• Sydney Darton-Ritchie, LSW
• Lauren Michele Daugherty, LPN
• Paul Daugherty, QMHS

• Optometrist in Warren, OH
• Providers in Warren, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.