# DR. SAMUEL FRANK BOLES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255338307
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0051567 | MD | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 04/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001 | BCBS | — |
| 01 | — | 10252068 | AMERIGROUP | — |
| 01 | — | 1479534 | AETNA HMO | — |
| 01 | — | 4612891 | AETNA PPO | — |
| 01 | — | 54794107 | BCBS | — |
| 01 | — | 54794109 | BCBS | — |
| 01 | — | 54794110 | BCBS | — |
| 01 | — | 547947108 | BCBS | — |
| 05 | — | 711502400 | — | MD |