Organization Active NPI

Holladay Lasik Institute

  • Ophthalmology Physician
  • Bellaire, TX
National Provider Identifier
1205011780
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E2621 Issued in TX
Legal business name
HOLLADAY LASIK INSTITUTE
Practice address
6802 Mapleridge St
Suite 200
Bellaire, TX 77401-3943
Phone
(713) 668-7337
Fax
(713) 668-7336
NPI assigned
Jan 3, 2008
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Jack T. Holladay, M.D.NPI 1851321277
Title
President
Phone
(713) 668-7337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E2621 TX Primary

Addresses

Primary practice location

6802 Mapleridge St
Suite 200
Bellaire, TX 77401-3943

Mailing address

6802 Mapleridge St
Suite 200
Bellaire, TX 77401-3943
Phone (713) 668-7337

Other identifiers 1

IdentifierTypeStateIssuer
E2621OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

6802 Mapleridge St
Ste 200
Bellaire, TX 77401
Phone (713) 666-1345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205011780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 MAPLERIDGE ST",
            "address_2": "SUITE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013943",
            "telephone_number": "713-668-7337",
            "fax_number": "713-668-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 MAPLERIDGE ST",
            "address_2": "SUITE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013943",
            "telephone_number": "713-668-7337",
            "fax_number": "713-668-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY LASIK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLLADAY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-668-7337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E2621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E2621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.