Individual provider Active NPI

Lindsey Grace Holland, OD

  • Optometrist
  • Northglenn, CO
National Provider Identifier
1013578707
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003494 Issued in CO
Practice address
10465 Melody Dr Ste 111
Northglenn, CO 80234-4124
Phone
(303) 252-9981
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003494 CO Primary

Addresses

Primary practice location

10465 Melody Dr Ste 111
Northglenn, CO 80234-4124

Mailing address

4390 Tennyson St Apt 201
Denver, CO 80212-2452
Phone (210) 296-9233

Other practice location 1

8403 Bryant St
Westminster, CO 80031-3809
Phone (303) 426-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002157 CO Practitioner - Optometry 4082949847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Vision PC Optometrist CurrentSince Jun 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1013578707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 TENNYSON ST APT 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122452",
            "telephone_number": "210-296-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR STE 111",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344124",
            "telephone_number": "303-252-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8403 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313809",
            "country_code": "US",
            "telephone_number": "303-426-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "LINDSEY",
        "middle_name": "GRACE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.