Individual provider Active NPI

Adrienne Holland, OD

  • Optometrist
  • Verona, WI
National Provider Identifier
1205404472
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3722-35 Issued in WI
Practice address
320 S Main St
Verona, WI 53593-1424
Phone
(608) 848-5168
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046011519 IL
Optometrist 152W00000X 3722-35 WI Primary

Addresses

Primary practice location

320 S Main St
Verona, WI 53593-1424

Mailing address

320 S Main St
Verona, WI 53593-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210923003003 IL Practitioner - Optometry 8729485396 Reassigns benefits to 1 organization
I20250910000250 WI Practitioner - Optometry 8729485396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verona Vision Care LLCGroup PAC ID 2163423484, 4 clinicians

Practice addresses (Care Compare)

320 S Main St
Verona, WI 53593-1424
Phone (608) 848-5168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Verona Vision Care, LLC Optometrist CurrentSince Jun 29, 2025 Accepting new patients
Rosin Optical Co., Inc Optometrist CurrentSince Jun 12, 2021 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jun 12, 2021 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

313 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 541-1184

1917 Cherry Ln
Northbrook, IL 60062
Phone (847) 564-2020

320 S Main St
Verona, WI 53593
Phone (608) 848-5168

Organizations & group practices 3

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1205404472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931424",
            "telephone_number": "608-848-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ADRIENNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011519",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3722-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.