Active NPI
John William Hollier, O.D.
- Optometrist
- Blairsville, GA
National Provider Identifier
1235119264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000784
- Practice address
- 178 Bracketts Way
Suite 1
Blairsville, GA 30512-2984 - Phone
- (706) 745-2020
- Fax
- (770) 781-5103
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000784 | GA | Primary |
Addresses
Primary practice location
178 Bracketts Way
Suite 1
Blairsville, GA 30512-2984
Mailing address
6775 Molly View PT
Cumming, GA 30041-2111
Phone (770) 354-6412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000069825A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100819000514 | GA | Practitioner - Optometry | 9234263724 | Practice locations: Blairsville, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000784 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Andre Baron & Associates PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Blairsville, GA
- NPI 1124822739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1235119264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6775 MOLLY VIEW PT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300412111",
"telephone_number": "770-354-6412",
"fax_number": "770-781-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 BRACKETTS WAY",
"address_2": "SUITE 1",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122984",
"telephone_number": "706-745-2020",
"fax_number": "770-781-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIER",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "000784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000069825A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.