DR. TERRY L BOLEN O.D.
NPI 1033157417
Optometrist in Waco, TX
About Dr. Terry L Bolen O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERRY L BOLEN O.D. (NPI 1033157417) is an individual optometrist in Waco, Texas, licensed in Texas (2525) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hewitt.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Terry L Bolen O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Terry Bolen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fallon, NV 89406
- Reassigned Medicare billing, Texas enrollment
- 30 clinicians in this Medicare group
Yerington, NV 89447
- Reassigned Medicare billing, Nevada enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Terry Bolen's NPI number?
The NPI number for Terry Bolen is 1033157417. It was assigned to this individual provider in the NPPES registry on June 4, 2006.
Where is Terry Bolen located?
Terry Bolen practices at 600 Hewitt Dr, Waco, TX 76712. The listed phone number is (254) 339-1000.
What is Terry Bolen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Terry Bolen enrolled in Medicare?
Yes. Terry Bolen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Terry Bolen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Bolen reassigns Medicare benefits to 2 organizations: Fallon Tribal Health Center (Fallon, NV) and Yerington Paiute Tribal Council (Yerington, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Bolen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Terry Bolen was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Terry L Bolen, O.D. · NPI 1033157417
Optometrist provider in Waco, Texas. Individual provider, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1033157417 (Entity type: Individual)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2525 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 HEWITT DR, Waco, TX 76712-6654
- **Phone:** (254) 339-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fallon Tribal Health Center (NPI 1023057478, Fallon, NV); Yerington Paiute Tribal Council (NPI 1750338646, Yerington, NV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033157417) · Data from the CMS NPPES public registry.