Provider Demographics
NPI:1992157564
Name:BOBOLA, HELENA (OD)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:
Last Name:BOBOLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:HUANG
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:703 LISBON CENTER DR STE D
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-8632
Mailing Address - Country:US
Mailing Address - Phone:410-941-8383
Mailing Address - Fax:410-941-8386
Practice Address - Street 1:703 LISBON CENTER DR STE D
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797-8632
Practice Address - Country:US
Practice Address - Phone:240-252-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2537152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13838402OtherCAQH ID #
MDTA2537OtherSTATE LICENSE