Michael A Bollenbacher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008 Issued in CO

Practice address

2525 Arapahoe Ave
Suite E23
Boulder, CO 80302-6720

Phone

(303) 444-1405

Fax

(303) 413-9421

NPI assigned

Aug 11, 2005

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

University of Houston - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Bollenbacher, OD and Associates, PCGroup PAC ID 7113093089, 2 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.

• Michael Bollenbacher, OD & Associates, PC

  dba Dr. Bollenbacher & Associates

  • Optometrist
  • Boulder, CO
  • NPI 1689689374
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780686527",
    "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": {
        "last_name": "BOLLENBACHER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66232091",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Bohren, DC
• Deborah Boire, LCSW
• Lizette Bolanos-Nauth, OTR/L
• Anne Bolgert
• Mary Ann Bolkovatz, CNS
• Judith Bolles, P.T.
• Anjenean Behold Bolster, RN, MSN, PNP
• Elizabeth Bolton, BS, MS, LMT
• Beverly Ann Bomhoff, MSW/LCSW
• David Bonaiuto

• 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 Jul 8, 2007; 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.