Stephen Robert Holloway, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001165 Issued in PA

Practice address

400 7TH St
Ellwood City, PA 16117-2021

Phone

(724) 758-6338

Fax

(724) 752-2020

NPI assigned

Nov 1, 2006

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Family Eye CareGroup PAC ID 7012215395, 3 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.

• Advanced Family Eye Care

  • Optometrist
  • Ellwood City, PA
  • NPI 1538527023
  Medicare reassignment Care Compare group NPD Authorized official
• Gerald G. Soltis,O.D.

  • Eyewear Supplier
  • Zelienople, PA
  • NPI 1477739134
  NPD (past)
• Lynn J Wyatt

  dba Choice Optical

  • Optician
  • Lemont Furnace, PA
  • NPI 1538384490
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1083792618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 7TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172021",
            "telephone_number": "724-758-6338",
            "fax_number": "724-752-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 7TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172021",
            "telephone_number": "724-758-6338",
            "fax_number": "724-752-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Valley Medical Group, Inc.
• Joanna F Hersick, PT
• Alyssa Hill
• Melinda Hodder, MS. ED
• Michelle Hoffman, DPT, ATC, LAT
• Suzanne Houk, PHD
• Andrew Steven Hutchens, ATC, CSCS, CPT, CKTP
• Bobbie Jo Jacobs, LPN
• Taylor Nicole Jeannette, PA-C
• John Allen Corporation

• Optometrist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.