Individual provider Active NPI

John William Hollier, O.D.

  • Optometrist
  • Blairsville, GA
National Provider Identifier
1235119264
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000784 Issued in GA
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

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000069825AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000514 GA Practitioner - Optometry 9234263724 Practice locations: Blairsville, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000784GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Andre Baron & Associates PA Optometrist PastSince Apr 6, 2025 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.

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

Verify at the official NPI Registry.