Individual provider Active NPI

Robert W Hollenhorst, MD

  • Ophthalmology Physician
  • Duluth, MN
National Provider Identifier
1174569727
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22377 Issued in MN
Practice address
5007 Matterhorn Dr
Duluth, MN 55811-3812
Phone
(218) 720-3553
Fax
(218) 786-9375
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22377 MN Primary

Addresses

Primary practice location

5007 Matterhorn Dr
Duluth, MN 55811-3812

Mailing address

5007 Matterhorn Dr
Duluth, MN 55811-3812
Phone (218) 720-3553

Other identifiers 1

IdentifierTypeStateIssuer
17265100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22377MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relf Eyecare Specialists PA Ophthalmology PastSince Nov 1, 2000 Accepting new patients

Organizations & group practices 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174569727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 MATTERHORN DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113812",
            "telephone_number": "218-720-3553",
            "fax_number": "218-786-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 MATTERHORN DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113812",
            "telephone_number": "218-720-3553",
            "fax_number": "218-786-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENHORST",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "22377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17265100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.