Active NPI
Cameron Holicki, DO
- Ophthalmology Physician
- Angola, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 02007865A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 95.12
- Improvement activities
- 40
- Cost
- 76.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 295 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holicki Eye Centers, P.C. | Ophthalmology | Current | 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
- 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.
-
- Optometrist
- Angola, IN
- NPI 1821382714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.