Organization Active NPI

Ron W Holley Jr DO LLC

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1285848317
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RON W HOLLEY JR DO LLC
Practice address
1323 E 71St St
Ste 220
Tulsa, OK 74136-5045
Phone
(918) 493-5800
Fax
(918) 493-5819
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Mrs. Katrina S Holley, J.D.
Title
Cfo
Phone
(918) 493-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1323 E 71St St
Ste 220
Tulsa, OK 74136-5045

Mailing address

1323 E 71St St
Ste 220
Tulsa, OK 74136-5045
Phone (918) 493-5800

Other names 1

  • Holley Vision Cataract & Lasik Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holley Vision Cataract Lasik Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1323 E 71st St
Ste 220
Tulsa, OK 74136
Phone (918) 493-5800

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1285848317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E 71ST ST",
            "address_2": "STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365045",
            "telephone_number": "918-493-5800",
            "fax_number": "918-493-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 E 71ST ST",
            "address_2": "STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365045",
            "telephone_number": "918-493-5800",
            "fax_number": "918-493-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON W HOLLEY JR DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-493-5800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holley Vision Cataract & Lasik Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.