Individual
ANDREW MICHAEL BOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 NORTH AVE, BATTLE CREEK, MI 49017-3417
(269) 962-7595
(269) 963-9202
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004775
MI
152W00000X
Optometrist
OPC4651
FL
Other
Enumeration date
09/28/2011
Last updated
10/01/2021
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