DR. KENNETH DAVID BOLTZ O.D.
NPI 1699767632
Optometrist in Dublin, OH

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
5775 PERIMETER DR, STE 160, DUBLIN, OH 43017(614) 763-5775(614) 675-3338 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth David Boltz O.d. NPPES

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

DR. KENNETH DAVID BOLTZ O.D. (NPI 1699767632) is an individual optometrist in Dublin, Ohio, licensed in Ohio (OH3782) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1985).

NPPES Registry Identity

NPI1699767632
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNETH DAVID BOLTZCredential: O.D.
Location Address5775 PERIMETER DR, STE 160Dublin, OH 43017-3257
Mailing Address5775 Perimeter Dr, Ste 160Dublin, OH 43017-3257 · (614) 763-5775 · Fax (614) 675-3338
Fax(614) 675-3338
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1985
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 20, 2017
NPI 1699767632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · OH3782
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.

5775 PERIMETER DR, Dublin, OH 43017

Other Identifiers 1

Medicare UPINU20621OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth David Boltz 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 ID3072546332
PECOS Enrollment IDI20100903000796
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services97 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
40 services32 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

Chiropractor
5775 PERIMETER DR, SUITE 160
DUBLIN, OH 43017
Optometrist
5775 PERIMETER DR, SUITE 160
DUBLIN, OH 43017
Chiropractor
5775 PERIMETER DR
DUBLIN, OH 43017
Nurse Practitioner (Family)
5775 PERIMETER DR
DUBLIN, OH 43017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699767632, enumerated as an "individual" on August 16, 2005.

The provider is located at 5775 PERIMETER DR STE 160 DUBLIN, OH 43017 and the phone number is (614) 763-5775.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.