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Contact Information

MICHAEL R BOLAND, OD
503 S STATE ST
CLARKS SUMMIT, PA18411-1557
 Phone: 570-587-5186
 Fax: 570-586-7973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL R BOLAND · (Male)

NPI Number 1962414078
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/13/2006
Last updated 03/21/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000077
  • PA Medicaid 001699824
  • Other 506554 AETNA
  • Other 806719 FIRST PRIORITY HEALTH
  • Other 49959 GEISINGER HEALTH PLAN
  • Other BO975359 HIGH MARK BLUE SHIELD
  • Other 180033988 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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