Melody Bolanos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4694 Issued in FL

Practice address

17782 SW 2ND St
Pembroke Pines, FL 33029-3923

Phone

(954) 438-3937

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Care Optical, LLC

  • Optometrist
  • Miami, FL
  • NPI 1447627716
  Medicare reassignment Authorized official
• Care Optical, LLC

  • Optometrist
  • Plantation, FL
  • NPI 1033910740
  NPD (past) Authorized official
• Care Optical, LLC

  • Optometrist
  • Orlando, FL
  • NPI 1841091451
  NPD (past) Authorized official
• Betancourt-McIver OD PA

  • Optometrist
  • Pembroke Pines, FL
  • NPI 1124297593
  NPD
• I Stuart McIver OD PLLC

  • Optometrist
  • Fort Pierce, FL
  • NPI 1538391560
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1972850113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 NW 23RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295332",
            "telephone_number": "954-608-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293923",
            "telephone_number": "954-438-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Bohan, ARNP
• Nathan Boire, MD
• Bojana Bhardwaj MD PA
• Bolanos Clinical Research LLC
• Bolanos Concierge Medicine LLC
• Vicente A Bolanos I
• Yaolen Bolanos, MD
• Debra J. Bolger, LCSW
• Cristina Bolivar, APRN, FNP-C
• Byanca Bolivard, COTA/L

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.