Individual provider Active NPI

Holly Hynson, O.D.

  • Optometrist
  • Littlestown, PA
National Provider Identifier
1306966254
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001561 Issued in PA
Practice address
407 N Queen St
Littlestown, PA 17340-1223
Phone
(717) 359-4800
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 OEG001561 PA Primary

Addresses

Primary practice location

407 N Queen St
Littlestown, PA 17340-1223

Mailing address

407 N Queen St
Littlestown, PA 17340-1223
Phone (717) 359-4800

Other identifiers 2

IdentifierTypeStateIssuer
VA0485OtherVAEYEMED
HY912116OtherVAHIGHMARK-CLARITY VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230511000717 TN Practitioner - Optometry 8820900046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001561PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 8, 2023 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 8, 2023 Accepting new patients

Locations

10930 Parkside Dr
Knoxville, TN 37934
Phone (865) 671-1188

2960 Miller Place Way
Knoxville, TN 37924
Phone (865) 525-9520

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1306966254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N QUEEN ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401223",
            "telephone_number": "717-359-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N QUEEN ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401223",
            "telephone_number": "717-359-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNSON",
        "first_name": "HOLLY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "VA0485",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK-CLARITY VISION",
            "identifier": "HY912116",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlestown, PA

Sources for this page

Verify at the official NPI Registry.