Individual
MICHAEL R BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001699824
—
PA
01
—
180033988
RAILROAD MEDICARE
—
01
—
49959
GEISINGER HEALTH PLAN
—
01
—
506554
AETNA
—
01
—
806719
FIRST PRIORITY HEALTH
—
01
—
BO975359
HIGH MARK BLUE SHIELD
—
Enumeration date
08/13/2006
Last updated
03/21/2026
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