NPI Code Detail JSON Logo

1518066208 NPI number — EMILY 'BAMBI' CHILDRESS BOLLIN O.D.

NPI Number: 1518066208
Health Care Provider/Practitioner: EMILY 'BAMBI' CHILDRESS BOLLIN O.D.

Information about “1518066208” NPI (EMILY 'BAMBI' CHILDRESS BOLLIN O.D.) exists in 1518066208 in HTML format HTML  |  1518066208 in plain Text format TXT  |  1518066208 in PDF (Portable Document Format) PDF  |  1518066208 in an XML format XML  formats.

NPI Number : 1518066208 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518066208",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOLLIN",
    "FirstName": "EMILY 'BAMBI'",
    "MiddleName": "CHILDRESS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHILDRESS",
    "OtherFirstName": "EMILY 'BAMBI'",
    "OtherMiddleName": "BARBOUR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23 CYGNET CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILTON HEAD ISLAND",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29926-1973",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-546-3296",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3 MALPHRUS RD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUFFTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-837-9222",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/21/2006",
    "LastUpdateDate": "08/18/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "1462",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.