Individual provider Active NPI

Marta L Holley, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1295791929
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1853 Issued in CO
Practice address
2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone
(719) 471-2020
Fax
(719) 633-7379
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 1853 CO Primary

Addresses

Primary practice location

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120

Mailing address

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone (719) 471-2020

Other identifiers 1

IdentifierTypeStateIssuer
91588251MedicaidCO

Other names 1

  • Marta L Walz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100128000214 CO Practitioner - Optometry 2668514761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Colorado Springs, PC.Group PAC ID 6305735952, 16 clinicians

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1193
Phone (719) 471-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
99.09
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Colorado Springs, PC CurrentSince Jul 8, 2013 Accepting new patients
Eye Associates of Colorado Springs, PC Optometrist CurrentSince Jul 8, 2013 Accepting new patients

Locations

2770 N Union Blvd
Ste 240
Colorado Springs, CO 80909
Phone (719) 471-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: marta.holleywalzod.p2@direct.eyeassoc.nextgenshare.com

Organizations & group practices 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1295791929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "MARTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91588251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "WALZ",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.