Active NPI
Holland & Holland Eye Care Center Optometry PLLC
- Optometrist
- Raleigh, NC
National Provider Identifier
1033225008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HOLLAND & HOLLAND EYE CARE CENTER OPTOMETRY PLLC
- Practice address
- 603 New Bern Ave
Raleigh, NC 27601 - Phone
- (919) 828-9085
- Fax
- (919) 828-9086
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Vernon Holland, O.D.
- Title
- Owner/Optometrist
- Phone
- (919) 828-9085
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
603 New Bern Ave
Raleigh, NC 27601
Mailing address
603 New Bern Ave
Raleigh, NC 27601
Phone (919) 828-9085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909411 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
502 S Duke St
Durham, NC 27701
Phone (919) 688-5617
603 New Bern Ave
Raleigh, NC 27601
Phone (919) 828-9085
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Raleigh, NC
- NPI 1083728752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372291200000",
"number": "1033225008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27601",
"telephone_number": "919-828-9085",
"fax_number": "919-828-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27601",
"telephone_number": "919-828-9085",
"fax_number": "919-828-9086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLAND & HOLLAND EYE CARE CENTER OPTOMETRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2013-06-27",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "919-828-9085",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909411",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.