Paul Reginald Holland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4804T Issued in CA

Practice address

2171 Junipero Serra Blvd Ste 100
Daly City, CA 94014-1987

Phone

(650) 994-3390

Fax

(650) 994-0161

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Optometry

Education

Other, 1966

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paul R Holland MD Inc

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1851521603
  NPD (past) Authorized official

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1205809647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD STE 100",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141987",
            "telephone_number": "650-994-3390",
            "fax_number": "650-994-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD STE 100",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141987",
            "telephone_number": "650-994-3390",
            "fax_number": "650-994-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PAUL",
        "middle_name": "REGINALD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4804T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER",
            "identifier": "1316650001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4473614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Hobbs
• Ruth Elaine Hoddinott, MD
• Alexandria Beth Hodes, M.F.T.
• Christian Hoffert
• Paul R Holland, MD
• Regina Holmes, NP
• Gerald A. Hom, MD
• Janice Loo Hom, RN
• Home Health Bay Area Inc.
• Home Sweet Home Senior Care Daly City, Inc.

• Optometrist in Daly City, CA
• Providers in Daly City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.

Verify at the official NPI Registry.