Michael James Bollish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3918T Issued in TX

Practice address

6850 N Shiloh Rd
Suite T
Garland, TX 75044-2912

Phone

(972) 414-0444

Fax

(972) 414-5663

NPI assigned

Nov 12, 2006

Sex

Male

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 TX

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

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 and National Provider Directory roles.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1598836660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N SHILOH RD",
            "address_2": "SUITE T",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442912",
            "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 N SHILOH RD",
            "address_2": "SUITE T",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442912",
            "telephone_number": "972-414-0444",
            "fax_number": "972-414-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLISH",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3918T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian M Boehm, PA-C
• Felicia Boggess
• Houston Bogus Jr., M.D.
• Dana Boles, ACP
• Debra L Bollin, OTR
• Bonilla Family Chiropractic LLC
• Ana Laura Bonilla, D.C.
• Sakunthala Boppana, DDS
• Bari Borejdo, APRN
• Carisa Ann Boser

• Optometrist in Garland, TX
• Providers in Garland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.