Marie Tekla Eleanor Waldrop, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1464 Issued in NE

Practice address

5556 Sunset Blvd
Lexington, SC 29072-7989

Phone

(803) 265-2744

NPI assigned

May 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Marie Tekla Eleanor Bolin Professional name

Medicare fee-for-service enrollment

Enrolled in NE, SC2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Eyes LLCGroup PAC ID 8729427398, 3 clinicians

Collective Eyecare LLCGroup PAC ID 3375034192, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Collective Eyecare LLC

  • Optometrist
  • Lexington, SC
  • NPI 1689545204
  Medicare reassignment Care Compare group NPD
• Vital Eyes LLC

  • Optometrist
  • Chapin, SC
  • NPI 1528848405
  Medicare reassignment Care Compare group NPD
• Heartland Eye Consultants LLC

  • Optometrist
  • Omaha, NE
  • NPI 1003821422
  Medicare reassignment NPD
• Unity Eye Centers Inc

  • Optometrist
  • Norfolk, NE
  • NPI 1255980678
  Medicare reassignment NPD
• Unity Eye Centers Inc

  • Optometrist
  • Seward, NE
  • NPI 1508686049
  NPD
• Vision Specialists of Council Bluffs LLC

  • Optometrist
  • Council Bluffs, IA
  • NPI 1831377084
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1730536178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 TULIP WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726200",
            "telephone_number": "402-416-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727989",
            "telephone_number": "803-265-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "MARIE",
        "middle_name": "TEKLA ELEANOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "SC",
            "license": "2495",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WI",
            "license": "4042-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BOLIN",
            "middle_name": "TEKLA ELEANOR",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Walgreen Co

• Optometrist in Lexington, SC
• Providers in Lexington, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.