Organization Active NPI

Holly S. Coriell, O.D., P.C.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1023309689
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003436 Issued in IN
Legal business name
HOLLY S. CORIELL, O.D., P.C.
Doing business as
Coriell EyeCare
Practice address
14555 Hazel Dell Pkwy
Suite 120
Carmel, IN 46033-7000
Phone
(317) 706-2020
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Holly S Coriell, OD
Title
Owner
Phone
(317) 650-8634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003436 IN Primary

Addresses

Primary practice location

14555 Hazel Dell Pkwy
Suite 120
Carmel, IN 46033-7000

Mailing address

14555 Hazel Dell Pkwy
Suite 120
Carmel, IN 46033-7000
Phone (317) 706-2020

Other names 1

  • Coriell EyeCare Doing business as

National Provider Directory

National Provider Directory

Locations

14555 Hazel Dell Pkwy
Ste 120
Carmel, IN 46033
Phone (317) 706-2020

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1023309689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-706-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-706-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY S. CORIELL, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "CORIELL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-650-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coriell EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.