NPIMap

Organization Active NPI

Boling Vision Center, LLC

  • Eyewear Supplier
  • Goshen, IN
National Provider Identifier
1467585885
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BOLING VISION CENTER, LLC
Practice address
1615 Winsted Dr
Goshen, IN 46526-4696
Phone
(574) 533-9633
Fax
(574) 533-9314
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Richard Clayton Boling II, M.D.NPI 1245278068
Title
Owner
Phone
(574) 293-3545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1615 Winsted Dr
Goshen, IN 46526-4696

Mailing address

2746 Old US 20 W
Elkhart, IN 46514-1364
Phone (574) 293-3545

National Provider Directory

National Provider Directory

Locations

1615 Winsted Dr
Ste 1
Goshen, IN 46526
Phone (574) 293-3545

4455 Edison Lakes Pkwy
#200
Mishawaka, IN 46545
Phone (574) 968-0136

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1467585885",
    "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": "1615 WINSTED DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-533-9633",
            "fax_number": "574-533-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLING VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-293-3545",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.