Boland, Michael R
Boland, Michael R is an individual health care provider with primary practice located at 503 S State St , Clarks Summit PA 18411-1557. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boland, Michael R can be contacted via phone (570) 587-5186.Contact Information
Primary practice address
503 S State St
Clarks Summit PA 18411-1557
Phone: (570) 587-5186
Fax: (570) 586-7973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000077 | Pennsylvania |
Profile Details
| NPI number | 1962414078 |
|---|---|
| LBN Legal business name | Boland, Michael R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Mar 21st, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962414078 | NPPES |
| Other | 49959 | GEISINGER HEALTH PLAN | |
| Other | 180033988 | GEISINGER HEALTH PLAN | |
| MEDICAID | 001699824 | GEISINGER HEALTH PLAN | |
| Other | BO975359 | GEISINGER HEALTH PLAN | |
| Other | 806719 | GEISINGER HEALTH PLAN | |
| Other | 506554 | GEISINGER HEALTH PLAN |
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