Individual provider Active NPI

Cameron Holicki, DO

  • Ophthalmology Physician
  • Angola, IN
National Provider Identifier
1205464229
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
02007865A Issued in IN
Practice address
1202 N Wayne St
Angola, IN 46703-2343
Phone
(260) 665-5015
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101027809 MI
Ophthalmology Physician 207W00000X 02007865A IN Primary

Addresses

Primary practice location

1202 N Wayne St
Angola, IN 46703-2343

Mailing address

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 384-6800

Other practice location 1

142 E Chicago Rd
Coldwater, MI 49036-8449
Phone (517) 279-7927

Other practice location 2

1409 S Lakeview Ave
Sturgis, MI 49091-2350
Phone (269) 659-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240808001441 IN Practitioner - Ophthalmology 4284063546 Reassigns benefits to 1 organization
I20240918002492 MI Practitioner - Ophthalmology 4284063546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holicki Eye Centers, P.C.Group PAC ID 3476533324, 4 clinicians

Practice addresses (Care Compare)

1202 N Wayne St
Angola, IN 46703-2343
Phone (260) 665-5015

142 E Chicago Rd
Suite a
Coldwater, MI 49036-8449
Phone (517) 279-7927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
95.12
Improvement activities
40
Cost
76.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Holicki Eye Centers, P.C. Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Holicki Optical Inc Past Accepting new patients

Locations

1202 N Wayne St
Angola, IN 46703
Phone (260) 665-2825

142 E Chicago Rd
Ste A
Coldwater, MI 49036
Phone (517) 279-7927

142 E Chicago Rd
Coldwater, MI 49036
Phone (517) 279-7927

1409 S Lakeview Ave
Sturgis, MI 49091
Phone (269) 651-4545

Interoperability endpoints

  • Direct secure messaging: cholicki667704@direct.parkviewexchange.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1205464229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-384-6800",
            "fax_number": "937-723-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032343",
            "telephone_number": "260-665-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 E Chicago Rd",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490368449",
            "country_code": "US",
            "telephone_number": "517-279-7927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 S Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490912350",
            "country_code": "US",
            "telephone_number": "269-659-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLICKI",
        "first_name": "CAMERON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101027809",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02007865A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.