Michael Bollenbacher, OD & Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008 Issued in CO

Legal business name

MICHAEL BOLLENBACHER, OD & ASSOCIATES, PC

Practice address

2525 Arapahoe Ave
Suite E23
Boulder, CO 80302-6720

Phone

(303) 444-1405

Fax

(303) 413-9421

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Bollenbacher, O.D.NPI 1780686527

Title

President

Phone

(303) 444-1405

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bollenbacher & Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Michael A Bollenbacher, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1780686527
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Ramos, OD

  • Optometrist
  • Englewood, CO
  • NPI 1023598398
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198886400000",
    "number": "1689689374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "address_2": "SUITE E23",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-444-1405",
            "fax_number": "303-413-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "address_2": "SUITE E23",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-444-1405",
            "fax_number": "303-413-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOLLENBACHER, OD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-29",
        "status": "A",
        "authorized_official_last_name": "BOLLENBACHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-444-1405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bollenbacher & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Meyer
• Annemarie Meyers
• Ariel Meyers
• Timothy James Meyers
• Allison Marie Micek Lammers, M.A. CCC-SLP
• Michael Miller Therapy, LLC
• Eugene Michalenko, M.A.
• Diane S Michel, MSPH, IBCLC, RLC
• Michelle Meinholz D.C., PLLC
• Daniel Michels

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.