Nicholas Alan Holtzman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011566 Issued in IL

Practice address

1 Park PL
Swansea, IL 62226-2965

Phone

(618) 233-3040

Fax

(618) 233-3739

NPI assigned

Aug 9, 2021

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

Medicare fee-for-service enrollment

Enrolled in IL

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

University of Missouri St Louis - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Becherer Becherer and Associates LTDGroup PAC ID 0648286500, 2 clinicians

Associated Vision Care, LTDGroup PAC ID 9133593460, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nholtz@drbechererandassociates.emadirect.md

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.

• Associated Vision Care, LTD

  • Optometrist
  • O Fallon, IL
  • NPI 1689370827
  Medicare reassignment Care Compare group NPD
• DRS. Becherer, Becherer & Associates, LTD

  • Corneal and Contact Management Optometrist
  • Belleville, IL
  • NPI 1336222124
  Medicare reassignment Care Compare group NPD
• Blink LLC

  • Optometrist
  • O Fallon, IL
  • NPI 1629187208
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1265107643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262965",
            "telephone_number": "618-233-3040",
            "fax_number": "618-233-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262965",
            "telephone_number": "618-233-3040",
            "fax_number": "618-233-3739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 E Wesley Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622696142",
            "country_code": "US",
            "telephone_number": "618-624-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "NICHOLAS",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Marie Herrmann, P.T., A.T.C.
• High Mount School District #116
• Highland Park CVS, L.L.C.
• Tiffany Rose Hislope, MSW, LCSW
• Holistic Counseling PLLC
• Homer a Ferguson, Jr, MD, PC
• Andrew Hood, COTA
• Neil David Horowitz, PHD
• Jamie Andrew House
• Katherine E House, FNP

• Optometrist in Swansea, IL
• Providers in Swansea, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.