Individual provider Active NPI

Holly Dow Swartz, OD

  • Optometrist
  • Mason, MI
National Provider Identifier
1164560439
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003998 Issued in MI
Practice address
1103 S Cedar St
Mason, MI 48854-2081
Phone
(517) 676-9350
Fax
(517) 676-8040
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003998 MI Primary

Addresses

Primary practice location

1103 S Cedar St
Mason, MI 48854-2081

Mailing address

1103 S Cedar St
Suite 200
Mason, MI 48854-2081
Phone (517) 676-9350

Other identifiers 1

IdentifierTypeStateIssuer
900C361880OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Holly Dow Brown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080121000273 MI Practitioner - Optometry 4880775410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

1103 S Cedar St
Mason, MI 48854-2081
Phone (517) 676-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003998MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Feb 8, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Feb 8, 2021 Accepting new patients
Howell Vision Center, Inc. Optometrist Past Accepting new patients

Locations

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1103 S Cedar St
Ste 200
Mason, MI 48854
Phone (517) 676-9350

1103 S Cedar St
Mason, MI 48854
Phone (517) 244-7787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1164560439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST",
            "address_2": "SUITE 200",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542081",
            "telephone_number": "517-676-9350",
            "fax_number": "517-676-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542081",
            "telephone_number": "517-676-9350",
            "fax_number": "517-676-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "HOLLY",
        "middle_name": "DOW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900C361880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BROWN",
            "middle_name": "DOW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.