Jennifer Holliday LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1564-596T Issued in LA

Legal business name

JENNIFER HOLLIDAY LLC

Practice address

167 Northshore Blvd
Slidell, LA 70460-6836

Phone

(985) 690-6686

Fax

(985) 690-6648

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Holliday, O.D.NPI 1851567689

Title

Optometrist

Phone

(985) 690-6686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Jean Holliday, OD

  • Optometrist
  • Slidell, LA
  • NPI 1851567689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1245504414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 NORTHSHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606836",
            "telephone_number": "985-690-6686",
            "fax_number": "985-690-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 NORTHSHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606836",
            "telephone_number": "985-690-6686",
            "fax_number": "985-690-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HOLLIDAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "985-690-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1564-596T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly M Jeffery
• Andrea Michelle Jenkins
• Danielle Jenkins
• William Cody Jenkins, CRNA
• Jennifer Dorion LCSW LLC
• Jennifer Wandell (Eye to Eye Vision Care)
• Tara Whittaker Jochum, APRN, FNP-C
• John George Roheim, M.D.,Faap, Apmc
• John Lovern, LCSW, LLC
• Ashley Johnson, CPM LM

• Optometrist in Slidell, LA
• Providers in Slidell, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.