Organization Active NPI

Holland Eye Clinic, P.a.

  • Optometrist
  • Oskaloosa, KS
National Provider Identifier
1003964032
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1530CHARLES1446JNETT Issued in KS
Legal business name
HOLLAND EYE CLINIC, P.A.
Practice address
1106 Walnut St
Oskaloosa, KS 66066-4203
Phone
(785) 863-2000
Fax
(785) 863-3333
NPI assigned
Jan 8, 2007
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeannette Lorraine Holland, O.D.NPI 1225072341
Title
President
Phone
(785) 863-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1530CHARLES1446JNETT KS Primary

Addresses

Primary practice location

1106 Walnut St
Oskaloosa, KS 66066-4203

Mailing address

1106 Walnut St
Oskaloosa, KS 66066-4203
Phone (785) 863-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080701000009 KS Part B Supplier - Clinic/Group Practice 9234201666 Receives reassigned benefits from 2 practitioners
Practice locations: Basehor, KS; Oskaloosa, KS
O20100930091304 KS DME Supplier - Physician - Optometrist 9234201666 Practice locations: Oskaloosa, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holland Eye Clinic PA1106 Walnut St, Oskaloosa, KS 66066-4203(785) 863-2000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

15330 Wolfcreek Pkwy
Basehor, KS 66007

15330 Wolfcreek Pkwy
Ste 300
Basehor, KS 66007
Phone (913) 724-0700

1106 Walnut St
Oskaloosa, KS 66066
Phone (785) 863-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1003964032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "660664203",
            "telephone_number": "785-863-2000",
            "fax_number": "785-863-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "660664203",
            "telephone_number": "785-863-2000",
            "fax_number": "785-863-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-863-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1530CHARLES1446JNETT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.