Joelle Holland

Primary specialty

OptometristTaxonomy code 152W00000X

License

3470 Issued in MN

Practice address

170 Westfalen TRL
Medina, MN 55340-4621

Phone

(763) 478-3505

NPI assigned

Jun 1, 2016

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Eye Care of MedinaGroup PAC ID 5991889511, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Complete Eye Care of Medina

  • Optometrist
  • Medina, MN
  • NPI 1477737088
  Medicare reassignment Care Compare group NPD
• Visionary Eye Care, PA

  dba Tommy Lee Elton

  • Optometrist
  • Excelsior, MN
  • NPI 1811430226
  Medicare reassignment NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1063860997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WESTFALEN TRL",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553404621",
            "telephone_number": "763-478-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WESTFALEN TRL",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553404621",
            "telephone_number": "763-478-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063860997",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Engen, LPCC
• Ellie Elizabeth Fischer
• Grand St Paul CVS LLC (Target Pharmacy)
• Saundra Hartmann, PHARM.D.
• Yumin He, DDS
• Erin Lynn Holznagel, M.A., LAMFT
• Allison Jansen
• Dominique Hoa-Mi Le, DDS
• Kalei Lenzmeier, PHARMD
• Lunski Development Medina LLC (Okalee of Medina)

• Optometrist in Medina, MN
• Providers in Medina, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.