Nathaniel Adam Bolen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1292 Issued in NE

Practice address

1414 W 12TH St
Hastings, NE 68901-3742

Phone

(402) 462-9191

NPI assigned

Nov 16, 2007

Last updated

Jan 23, 2013By the provider in NPPES

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 NE

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eye Care, LLCGroup PAC ID 9133369655, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Eye Care, LLC

  dba Advanced Eye Care

  • Optometrist
  • Hastings, NE
  • NPI 1922343680
  Medicare reassignment Care Compare group NPD
• Bolen Eigenberg PC

  dba Minden Vision Clinic

  • Optometrist
  • Minden, NE
  • NPI 1245574615
  Authorized official Same address or phone
• Steven B. Nicholson,O.D., PC

  • Optometrist
  • Hastings, NE
  • NPI 1336336015
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1609057710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 W 5TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014704",
            "telephone_number": "308-440-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013742",
            "telephone_number": "402-462-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "NATHANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Blankenship, PLADC
• Jon Blazer
• Julia Block
• Noelle Boehle, SLP
• Barry A Bohlen, M.D.
• Jenna Bonifas
• Josh Bonifas
• Kelly Jean Bonifas, RN
• Patricia (Trish) Bonifas
• Sarah Bors

• Optometrist in Hastings, NE
• Providers in Hastings, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.