Dr. Nicholas R. Bollin
Optometrist
4720 Waters Ave
Savannah
, Georgia 31404-6292
Dr. Nicholas R. Bollin
Optometrist
4720 Waters Ave
Savannah
, Georgia 31404-6292
(912) 629-5821
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Nicholas R. Bollin
- 4720 Waters Ave
- Savannah, GA
- Zip : 31404-6292
- Fax : (912) 629-5821
- Phone : (912) 354-4800
Second Address
- Dr. Nicholas R. Bollin
- 4720 Waters Ave
- Savannah, GA
- Zip : 31404-6292
- Fax : (912) 629-5821
- Phone : (912) 354-4800
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FAQs
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Is Dr. Nicholas R. Bollin a sole practitioner?
Is Dr. Nicholas R. Bollin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1463 | SC |
| Y | 152W00000X | Optometrist | OPT002419 | GA |
National Provider Identifier
| NPI | 1003831371 |
|---|---|
| Provider Name | Dr. Nicholas R. Bollin |
| First Address | Savannah, GA 31404-6292 |
| Second Address | Savannah, GA 31404-6292 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 12/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 511G701032 | MEDICARE GROUP (01) | GA |
| 511I410154 | MEDICARE PTAN (01) | GA |
| 6830 | MEDICARE GROUP NUMBER (01) | SC |
| 895091476D | (05) | GA |
| 895091476F | (05) | GA |
| AA62946830 | MEDICARE PTAN (01) | SC |
| AA6294E499 | (02) | SC |
| D14633 | (05) | SC |
| DA9680 | MEDICAID GROUP NUMBER (01) | SC |
| E499 | (02) | SC |
| P00684230 | RAILROAD MEDICARE PTAN (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.