Individual provider Active NPI

Kristo Bolano, OD

  • Optometrist
  • Chestnut Hill, MA
National Provider Identifier
1891280020
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5399 Issued in MA
Practice address
1 Boylston St Ste 3E
Chestnut Hill, MA 02467-1719
Phone
(617) 232-3303
Fax
(172) 323-3106
NPI assigned
Jun 29, 2018
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5399 MA Primary

Addresses

Primary practice location

1 Boylston St Ste 3E
Chestnut Hill, MA 02467-1719

Mailing address

1 Boylston St Ste 3E
Chestnut Hill, MA 02467-1719
Phone (617) 232-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210319001883 MA Practitioner - Optometry 2860741378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 3, 2018 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jan 9, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 3, 2018 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
All Eye Care at Davis, Inc Optometrist PastSince Dec 15, 2020 Accepting new patients

Locations

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1891280020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOYLSTON ST STE 3E",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671719",
            "telephone_number": "617-232-3303",
            "fax_number": "617-232-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOYLSTON ST STE 3E",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671719",
            "telephone_number": "617-232-3303",
            "fax_number": "172-323-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANO",
        "first_name": "KRISTO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.