Holland Eye Clinic, P.a.
Organization Active NPI Optometrist · Oskaloosa, KS
NPI 1003964032 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1003964032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1530CHARLES1446JNETT (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeannette Lorraine Holland, O.D.
- Title
- President
- Phone
- (785) 863-2000
Practitioners 2
-
Charles Heath Holland, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Holland Eye Clinic PA |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1530CHARLES1446JNETT | KS | Yes |
Addresses
Primary practice location
1106 Walnut St
Oskaloosa, KS 66066-4203
Mailing address
1106 Walnut St
Oskaloosa, KS 66066-4203
Phone (785) 863-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003964032 | Other | KS | GROUP NPI |
| 1134294549 | Other | KS | NPI CHARLES |
| 1225072341 | Other | KS | NPI JEANNETTE |
| 1003964032 | Medicaid | KS |
Other providers in Oskaloosa, KS
- Jill Ann Flessing
- Brittany E Greene
- Heritage Gardens Health and Rehabilitation Center LLC
- Hickory Pointe Care and Rehabilitation Center Inc
- Hickory Pointe KS Opco LLC
- Charles Heath Holland
- Jeannette Lorraine Holland
- Neil Iles
- Jefferson County Memorial Hospital Foundation, Inc.
- Jefferson County Memorial Hospital Foundation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.