TIMOTHY ALEX BOLCH OD
NPI 1104754241
Student in an Organized Health Care Education/Training Program in Taylorsville, NC
About Timothy Alex Bolch Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY ALEX BOLCH OD (NPI 1104754241) is an individual student in an organized health care education/training program in Taylorsville, North Carolina and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Alex Bolch Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Bolch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taylorsville, NC 28681
- Reassigned Medicare billing, South Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAYLORSVILLE, NC 28681
TAYLORSVILLE, NC 28681
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 Timothy Bolch's NPI number?
The NPI number for Timothy Bolch is 1104754241. It was assigned to this individual provider in the NPPES registry on May 11, 2026.
Where is Timothy Bolch located?
Timothy Bolch practices at 174 Bolick Ln, Taylorsville, NC 28681. The listed phone number is (828) 495-1234.
What is Timothy Bolch's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Timothy Bolch enrolled in Medicare?
Yes. Timothy Bolch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Bolch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Bolch reassigns Medicare benefits to Vision First Optometry PLLC (Taylorsville, NC). The 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 Timothy Bolch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Bolch accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Timothy Bolch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Timothy Bolch was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Timothy Alex Bolch, OD · NPI 1104754241
Student in an Organized Health Care Education/Training Program provider in Taylorsville, North Carolina. Individual provider, active in the CMS NPPES registry since May 11, 2026.
## Identity
- **NPI:** 1104754241 (Entity type: Individual)
- **Enumerated:** May 11, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 174 BOLICK LN, Taylorsville, NC 28681-4052
- **Phone:** (828) 495-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Vision First Optometry PLLC (NPI 1497371710, Taylorsville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104754241) · Data from the CMS NPPES public registry.