DR. JOHN D JR. BOLDAN (OD) – Optometrist, NPI 1922257864
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
Provider Addresses for DR. JOHN D JR. BOLDAN (OD)
1750 S Broadway St
ste 2020
Sulphur Springs, TX 754824902
Phone: (903) 438-1000
Type: Location
Walmart Supercenter, 1750, South Broadway Street, Sulphur Springs, Hopkins County, Texas, 75482, United States
STE 2020
SULPHUR SPRINGS, TX 754824902
Phone: (903) 438-1000
Type: Mailing
1606, South Jefferson Avenue, Mount Pleasant, Titus County, Texas, 75455, United States
MT PLEASANT, TX 754555614
Phone: (903) 572-4000
Fax: (903) 575-0769
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($130).
Total Amount
$130
General + Research + Ownership
Payments
11
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $130 |
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: 2014-12-08
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 |
|---|---|---|---|---|
| I20141208001181 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 11 | $0 |
| 92250 | Photography of the retina | 12 | 11 | $0 |
Insurance plans in this area (ZIP 75482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | CA | |
| - | TX | |
| O P T O M E T R Y | TX | |
| - | VA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | TX |
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