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DR. MELODY BOLANOS O.D.
NPI 1972850113
Optometrist in Pembroke Pines, FL

Active since August 07, 2012PECOS EnrolledAccepts Medicare Assignment
17782 SW 2ND ST, PEMBROKE PINES, FL 33029(954) 438-3937 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melody Bolanos O.d. NPPES

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

DR. MELODY BOLANOS O.D. (NPI 1972850113) is an individual optometrist in Pembroke Pines, Florida, licensed in Florida (OPC4694) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972850113
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MELODY BOLANOSCredential: O.D.
Location Address17782 SW 2ND STPembroke Pines, FL 33029-3923
Mailing Address19101 Nw 23rd StPembroke Pines, FL 33029-5332 · (954) 608-2080
Phone(954) 438-3937
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 7, 2012
✔ NPI 1972850113 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 FL · OPC4694
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.
17782 SW 2ND ST, Pembroke Pines, FL 33029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Melody Bolanos 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 ID7810136728
PECOS Enrollment IDI20130625000226
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33029 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

BETANCOURT-MCIVER OD PA
Optometrist
17782 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 438-3937
DR. LILIANA BETANCOURT O.D.
Optometrist
17782 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 438-3937
IAIN MCIVER
Optometrist
17782 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 438-3937
JASON NUNEZ OD
Student in an Organized Health Care Education/Training Program
17782 SW 2ND ST
PEMBROKE PINES, FL 33029
Broward County (954) 483-3937

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 Melody Bolanos's NPI number?

The NPI number for Melody Bolanos is 1972850113. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Melody Bolanos located?

Melody Bolanos practices at 17782 SW 2nd St, Pembroke Pines, FL 33029. The listed phone number is (954) 438-3937.

What is Melody Bolanos's specialty?

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

Is Melody Bolanos enrolled in Medicare?

Yes. Melody Bolanos 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.

What insurance does Melody Bolanos accept?

Health plans from Providence Health Plan list Melody Bolanos 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 Melody Bolanos was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.