Jesse E Boles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2236DT Issued in KY

Practice address

952 Fairview Ave
Bowling Green, KY 42101-4943

Phone

(270) 781-2220

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Eye Care PLLCGroup PAC ID 1153225859, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Eye Care, PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1437143849
  Medicare reassignment Care Compare group NPD
• Oak Tree Eye Clinic 2, Inc

  dba Mayes and Ware Eyecare

  • Optometrist
  • Bowling Green, KY
  • NPI 1912541087
  Medicare reassignment NPD
• Lowell C. Ware Eyecare, Inc.

  • Optometrist
  • Bowling Green, KY
  • NPI 1871796193
  NPD
• Roger I Jones, O.D. LLC

  • Optometrist
  • Owensboro, KY
  • NPI 1912145962
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1487223806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HIGHTOWER CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037043",
            "telephone_number": "270-314-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014943",
            "telephone_number": "270-781-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "JESSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2236DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Boamah, C.S.W
• Tyanna Boards
• Body Works Chiropractic PSC
• Ashley M Bogenreif, MT
• Jenna Boggs
• Mikala Bolton
• Jacqueline Bond, RBT
• Caleb Joshua Bonner, LMFT
• Miranda Bonner, APRN, PMHNP
• Nicholas Connor Bontrager, BS, MD

• Optometrist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.