MICHAEL S BOLD OD INC
NPI 1740597269
Optometrist in La Palma, CA

Active since September 03, 2010
5422 LA PALMA AVE, LA PALMA, CA 90623(714) 995-1144(714) 995-7979 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael S Bold Od Inc NPPES

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

MICHAEL S BOLD OD INC (NPI 1740597269) is a healthcare organization registered as an optometrist in La Palma, California and active in the NPI registry since September 2010. The organization lists Michael Scott Bold, Doctor Optometrist, as its authorized official.

NPPES Registry Identity

NPI1740597269
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICHAEL S BOLD OD INC
Location Address5422 LA PALMA AVELa Palma, CA 90623-1705
Mailing Address5422 La Palma AveLa Palma, CA 90623-1705 · (714) 995-1144 · Fax (714) 995-7979
Fax(714) 995-7979
Organization SubpartNo
Authorized OfficialMichael Scott BoldDoctor Optometrist · (714) 995-1144
Enumeration DateSeptember 3, 2010
✔ NPI 1740597269 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 CA · OPT10072 TPA
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.
5422 LA PALMA AVE, La Palma, CA 90623

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael S Bold Od Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael S Bold Od Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1346349909
2628 SAN MIGUEL DR
Newport Beach, CA 92660
(949) 644-0165
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael S Bold Od Inc's NPI number?

The NPI number for Michael S Bold Od Inc is 1740597269. It was assigned to this organization in the NPPES registry on September 3, 2010.

Where is Michael S Bold Od Inc located?

Michael S Bold Od Inc is located at 5422 La Palma Ave, La Palma, CA 90623. The listed phone number is (714) 995-1144.

What is Michael S Bold Od Inc's specialty?

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

Is Michael S Bold Od Inc enrolled in Medicare?

Yes. Michael S Bold Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael S Bold Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Michael S Bold Od Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michael S Bold Od Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Michael S Bold Od Inc 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 Michael S Bold Od Inc was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.