Organization Active NPI

Holland & Holland Eye Care Center Optometry PLLC

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1033225008
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jun 27, 2013

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.NPI 1083728752
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8909411MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000844 NC Part B Supplier - Clinic/Group Practice 1951540574 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.