KIMBERLY WILLIAMS BOLAR O.D.
NPI 1114954757
Optometrist in Nottingham, MD
About Kimberly Williams Bolar O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WILLIAMS BOLAR O.D. (NPI 1114954757) is an individual optometrist in Nottingham, Maryland, licensed in Maryland (TA1486) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Pennsylvania College Of Optometry (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Williams Bolar O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Williams Bolar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 4,483 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Kimberly Williams Bolar's NPI number?
The NPI number for Kimberly Williams Bolar is 1114954757. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Kimberly Williams Bolar located?
Kimberly Williams Bolar practices at 4924 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (443) 442-2200.
What is Kimberly Williams Bolar's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kimberly Williams Bolar enrolled in Medicare?
Yes. Kimberly Williams Bolar is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Williams Bolar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Williams Bolar reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). 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 Kimberly Williams Bolar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimberly Williams Bolar affiliated with any hospitals?
According to CMS data, Kimberly Williams Bolar is affiliated with Johns Hopkins Hospital, The.
When was this NPI record last updated?
The NPPES record for Kimberly Williams Bolar was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kimberly Williams Bolar, O.D. · NPI 1114954757
Optometrist provider in Nottingham, Maryland. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1114954757 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TA1486 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BLVD, Nottingham, MD 21236-5908
- **Phone:** (443) 442-2200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Johns Hopkins University (NPI 1275515546, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 1997
## Record status
- **NPPES last updated:** February 21, 2013
- **Other identifiers:** Medicare UPIN U81314 (MD); Medicare PIN KR8479LL (MD); Medicaid 151600100 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114954757) · Data from the CMS NPPES public registry.