Kimberly Williams Bolar, OD | |
4924 Campbell Blvd, Nottingham, MD 21236-5908 | |
(443) 442-2200 | |
Not Available |
Full Name | Kimberly Williams Bolar |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 27 Years |
Location | 4924 Campbell Blvd, Nottingham, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114954757 | NPI | - | NPPES |
151600100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA1486 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johns Hopkins Hospital, The | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Johns Hopkins University | 8921903147 | 2656 |
Provider Name | Johns Hopkins University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Williams Bolar, OD Po Box 64481, Baltimore, MD 21264-4481 Ph: (410) 955-5080 | Kimberly Williams Bolar, OD 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (443) 442-2200 |
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