Neil Alan Boldus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009186 Issued in IL

Practice address

14 S Peoria St
Chicago, IL 60607-2628

Phone

(312) 432-0080

Fax

(312) 432-0586

NPI assigned

Mar 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

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 and National Provider Directory roles.

• NBHT Indiana

  • Optometrist
  • Saint John, IN
  • NPI 1699250548

  IL, IN, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• HTNB LLC

  • Optometrist
  • Chicago, IL
  • NPI 1588993778

  IL, Optometrist

  Medicare reassignment NPD Authorized official
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424

  IN, Optometrist

  Medicare reassignment Care Compare group NPD (past)
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1245695378

  IL

  Medicare reassignment
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1093201485
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1356900195
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Terre Haute, IN
  • NPI 1588150908
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Valparaiso, IN
  • NPI 1669931846
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Fishers, IN
  • NPI 1699261024
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Anderson, IN
  • NPI 1710473194
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Fort Wayne, IN
  • NPI 1962998393
  Care Compare group
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Michigan City, IN
  • NPI 1982190328
  Care Compare group

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Indiana LLC 82 clinicians

NBHT Indiana 2 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1992823462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S PEORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072628",
            "telephone_number": "312-432-0080",
            "fax_number": "312-432-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S PEORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072628",
            "telephone_number": "312-432-0080",
            "fax_number": "312-432-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUS",
        "first_name": "NEIL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Donna Michelle Bolden
• Rhonda Lee Bolden, LCPC, NCC
• Tegan Chanel Bolden
• Boldjay LLC
• Rhea Fries Boldman, PH.D.
• Erin Bolema, RN
• Dianna W Bolen, PSYD
• Leo Boler, MD
• Bolero Pharmacy LLC
• Kyla Boles, L.AC

• All providers in Chicago, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.