# SAMUEL F BOLES MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anne Arundel Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396898771
- **Authorized official:** DR. SAMUEL F BOLES MD (OWNER)
- **Authorized official phone:** (410) 224-2010

## Contact information

- **Practice address:** 127 LUBRANO DRIVE, SUITE 301, ANNAPOLIS, MD 21401-7560
- **Practice address phone:** (410) 224-2010
- **Practice address fax:** (410) 224-3044
- **Mailing address:** PO BOX 15659, BELFAST, ME 04915-4051
- **Mailing address phone:** (410) 224-2010
- **Mailing address fax:** (410) 224-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 03/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 29TZSF | BCBS | — |
| 01 | — | 7079 | BCBS | — |
| 05 | — | 711502400 | — | MD |
