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Bolt Eye Group - Johnson City, LLC

NPI 1992431118ActiveOrganization· Optometrist· Johnson City, TN

Optometrist in Johnson City, Tennessee, registered in NPPES in July 2022. The authorized official on file is Barbara Williams, Billing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1992431118
StatusActive
Entity typeOrganization
NPI issuedJul 29, 2022
Last updated in NPPESDec 13, 2022
Certified by providerOct 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

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