DR. KATHLEEN JOAN BOLAND (OD) – Optometrist, NPI 1093822389
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. KATHLEEN JOAN BOLAND (OD)
1750 S Big Bend Blvd
Saint Louis, MO 631172402
Phone: (314) 776-1300
Type: Location
8770 Manchester Rd
Saint Louis, MO 631442724
Phone: (314) 968-9000
Fax: (314) 968-9003
Type: Location
3940 Lindell Blvd
Saint Louis, MO 631083204
Phone: (314) 516-5016
Fax: (314) 535-4741
Type: Location
University Boulevard, Cool Valley, Saint Louis County, Missouri, 63121, United States
PATIENT CARE CENTER
ST. LOUIS, MO 63121
Phone: (314) 516-5131
Fax: (314) 516-5507
Type: Mailing
Natural Bridge Road, Bridgeton, Saint Louis County, Missouri, 63074, United States
PATIENT CARE CENTER
SAINT LOUIS, MO 631214617
Phone: (314) 516-5131
Fax: (314) 516-5507
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Johnson & Johnson Health Care Systems Inc. ($91).
Total Amount
$91
General + Research + Ownership
Payments
1
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Health Care Systems Inc. | $91 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070319000473 | I | Optometry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 92 | 92 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Occupational Therapist In Private Practice | MO | |
| Occupational Therapist In Private Practice | MO |
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