Christopher B. Boaldin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2640 Issued in OK

Practice address

1901 NW Expressway
2058
Oklahoma City, OK 73118-1607

Phone

(405) 767-2020

Fax

(405) 767-2022

NPI assigned

Jul 19, 2010

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OK

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

Nova Southeastern Univ College of Dental Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Caan PLLCGroup PAC ID 9739559162, 2 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.

• Eye Caan PLLC

  • Optometrist
  • Bethany, OK
  • NPI 1770208431
  Medicare reassignment Care Compare group NPD
• Affordable Price Vision Ctr Inc

  • Optometrist
  • Oklahoma City, OK
  • NPI 1356348783
  NPD (past)
• Gary L. Wade, O.D., Inc

  • Optometrist
  • Moore, OK
  • NPI 1912100215
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1861705931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 PRESTON CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725019",
            "telephone_number": "405-767-2020",
            "fax_number": "405-767-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW EXPRESSWAY",
            "address_2": "2058",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181607",
            "telephone_number": "405-767-2020",
            "fax_number": "405-767-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOALDIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "B.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200344100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph R Blythe, D.O.
• Bma of Ok (Fresenius Medical Care of Southwest Oklahoma City)
• BMX Health LLC (LUX Infusion Centers 1)
• Laura Boada Robayo, MD
• Boaldin Eye Care
• Michelle Boamah, MD
• Board of Regents of Ok - Col of Dentistry Grad Perodontics (Col of Dentistry Grad)
• Board of Regents of the Univ of Okla Ou Physicians Employer Spons Clin
• Board of Regents of the Univ of Okla-Stephenson Specialty Pharmacy (Stephenson Specialty Pharmacy)
• Board of Regents of the Univ of Oklahoma

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.