Individual provider Active NPI

Trevor Hollinsworth, OD

  • Optometrist
  • Jeffersonvlle, IN
National Provider Identifier
1154213890
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004607A Issued in IN
Practice address
302 W 14TH St Ste 100a
Jeffersonvlle, IN 47130-3751
Phone
(812) 284-0660
NPI assigned
Jul 17, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004607A IN Primary

Addresses

Primary practice location

302 W 14TH St Ste 100a
Jeffersonvlle, IN 47130-3751

Mailing address

302 W 14TH St Ste 100a
Jeffersonvlle, IN 47130-3751
Phone (812) 284-0660

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250723000937 IN Practitioner - Optometry 3870009129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1407 Spring St
Suite 1
Jeffersonville, IN 47130-3748
Phone (812) 590-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jul 17, 2025 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jul 17, 2025 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist Past Accepting new patients
Eye Associates of Southern Indiana Past Accepting new patients

Locations

849 Pacer Dr NW
Corydon, IN 47112
Phone (812) 738-2278

1407 Spring St
Ste 1
Jeffersonvlle, IN 47130
Phone (812) 282-4844

302 W 14th St
Jeffersonvlle, IN 47130
Phone (502) 426-0307

302 W 14th St
Ste 100
Jeffersonvlle, IN 47130
Phone (812) 948-4680

302 W 14th St
Ste 100A
Jeffersonvlle, IN 47130
Phone (812) 590-6157

441 Green Rd
Madison, IN 47250
Phone (812) 273-2020

1919 State St
Ste 140
New Albany, IN 47150
Phone (812) 280-2162

1350 S Jackson St
Salem, IN 47167
Phone (812) 896-1717

Interoperability endpoints

  • Direct secure messaging: trevor.hollinsworthod.p1@direct.have2020.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1154213890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100A",
            "city": "JEFFERSONVLLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100A",
            "city": "JEFFERSONVLLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINSWORTH",
        "first_name": "TREVOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonvlle, IN

Sources for this page

Verify at the official NPI Registry.