DR. TERRY L BOLEN (O.D.) – Optometrist, NPI 1033157417

DR. TERRY L BOLEN (O.D.) is a healthcare provider. based in Hewitt, Texas. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 2525 (TX). The NPI Number for DR. TERRY L BOLEN (O.D.) is 1033157417

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERRY L BOLEN (O.D.)
NPI
1033157417
Phone
(254) 339-1057
Address
733 Sun Valley Blvd
Enumeration Date
4 June 2006
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7754233634
Graduation Year
1978 (48 years ago)
PAC ID
1153490214
Group Practice PAC ID
0042399578
Professional Enrollment ID
I20080515000664
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. TERRY L BOLEN (O.D.)

  • 733 Sun Valley Blvd

    Hewitt, TX 766433535

    Phone: (254) 339-1057

    Type: Location

  • PO BOX 122

    HEWITT, TX 766430122

    Phone: (254) 339-1000

    Type: Mailing

  • 600 HEWITT DR

    WACO, TX 767126654

    Phone: (254) 339-1000

    Type: Location

  • Fallon Post Office, East A Street, Fallon, Churchill County, Nevada, 89496, United States

    FALLON, NV 894071980

    Phone: (775) 423-3634

    Type: Mailing

  • Rio Vista Drive, Fallon, Churchill County, Nevada, 89406, United States

    FALLON, NV 894065463

    Phone: (775) 423-3634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080515000664IOptometryTXTBD
I20180309000449IOptometryNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76643)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042399578View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. TERRY L BOLEN (O.D.)?
The federal identifier for DR. TERRY L BOLEN (O.D.) is NPI 1033157417.
Is DR. TERRY L BOLEN (O.D.) active in the national directory?
DR. TERRY L BOLEN (O.D.)'s public NPI profile is in an active state.
Can you summarize DR. TERRY L BOLEN (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. TERRY L BOLEN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. TERRY L BOLEN (O.D.)?
We surface Hewitt, Texas for DR. TERRY L BOLEN (O.D.) based on available NPPES addresses.
What if Hewitt, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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