Marita Bolis, OD
Optometrist in Anaheim, CA. Individual provider (NPI-1).
NPI number1013718436
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1013718436
- Entity type
- Individual (NPI-1)
- Name
- Marita Bolis
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2025
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 36394 | CA | Yes |
Practice location
5460 E La Palma AveAnaheim, CA 92807-2023
Phone 714-463-7500
Mailing address
1186 Lostinda StEl Cajon, CA 92019-3255
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