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DR. VICTORIA BOLYARD O.D.
NPI 1205240124
Optometrist in Chicago, IL

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
1055 W BRYN MAWR AVE, CHICAGO, IL 60660(773) 334-1893 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Victoria Bolyard O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VICTORIA BOLYARD O.D. (NPI 1205240124) is an individual optometrist in Chicago, Illinois, licensed in South Carolina (1897) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1205240124
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. VICTORIA BOLYARDCredential: O.D.
Location Address1055 W BRYN MAWR AVEChicago, IL 60660-4691
Mailing Address1312 Mossy RdMt Pleasant, SC 29464-3843 · (773) 334-1893
Phone(773) 334-1893
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateMay 31, 2021
NPPES CertifiedMay 31, 2021
✔ NPI 1205240124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in SC · 1897✔ Licensed in IL · 046010814
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1055 W BRYN MAWR AVE, Chicago, IL 60660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Victoria Bolyard O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244667525
PECOS Enrollment IDI20200226001452
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Victoria Bolyard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lowcountry Eye Care Of Cane Bay, LLC
738 mi
Optometrist
1718 STATE RD # 176, SUITE 3 (8D)
Summerville, SC 29486
  • Reassigned Medicare billing, South Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1700319282 (843) 797-1264
University Medical Associates
758 mi
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1760413835 (843) 792-1414
Avondale Eye Care
760 mi
Optometrist
1251 SAVANNAH HWY
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 12 clinicians in this Medicare group
NPI 1285807131 (843) 870-4073
Lowcountry Eye Care Of Mt Pleasant, LLC
763 mi
Optometrist
855 HOUSTON NORTHCUTT BLVD
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1306314562 (843) 797-1264

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services33 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services20 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
16 services16 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1 STOP MEDICAL SUPPLY SHOP
Durable Medical Equipment & Medical Supplies
1055 W BRYN MAWR AVE, STE F252
CHICAGO, IL 60660
Cook County (773) 892-5051

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 Victoria Bolyard's NPI number?

The NPI number for Victoria Bolyard is 1205240124. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Victoria Bolyard located?

Victoria Bolyard practices at 1055 W Bryn Mawr Ave, Chicago, IL 60660. The listed phone number is (773) 334-1893.

What is Victoria Bolyard's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Victoria Bolyard enrolled in Medicare?

Yes. Victoria Bolyard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Victoria Bolyard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Bolyard reassigns Medicare benefits to 4 organizations: Lowcountry Eye Care Of Cane Bay, LLC (Summerville, SC), University Medical Associates (Charleston, SC), Avondale Eye Care (Charleston, SC) and Lowcountry Eye Care Of Mt Pleasant, LLC (Mount Pleasant, SC). 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 Victoria Bolyard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Bolyard accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Victoria Bolyard 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 Victoria Bolyard was last updated on May 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.