Stephen F Bolick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0959 Issued in NC

Practice address

7413 Six Forks Rd
#144
Raleigh, NC 27615-6164

Phone

(919) 847-0187

Fax

(919) 676-2231

NPI assigned

Aug 30, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Care Associates OD PA

  • Optometrist
  • Raleigh, NC
  • NPI 1790937720
  NPD (past) Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1992798433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 SIX FORKS RD",
            "address_2": "#144",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156164",
            "telephone_number": "919-847-0187",
            "fax_number": "919-676-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 SIX FORKS RD",
            "address_2": "#144",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156164",
            "telephone_number": "919-847-0187",
            "fax_number": "919-676-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLICK",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "09111",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048143",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dondi Ramsey Bolding, CRNA
• William Robert Bolding, MD
• Beth Ann Boldt, MSW, LCSW
• Kurtiss E Boldt, PHD
• Jeremiah Chad Boles, M.D.
• Bruce Stephen Boliek, M.D.
• Charday Marie Bolivar, LCMHC, LCAS-A
• Shelby Bollar, LCMHC
• Gideon Bollino
• Dillan Jay Bollwinkel, DC

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.