Individual provider Active NPI

Holly Laraine Sprout, O.D.

  • Optometrist
  • Marietta, OH
National Provider Identifier
1316966823
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1029-OD Issued in WV
Practice address
316 2ND St
Marietta, OH 45750-2919
Phone
(740) 374-3937
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1029-OD WV Primary
Optometrist 152W00000X 5542 OH

Addresses

Primary practice location

316 2ND St
Marietta, OH 45750-2919

Mailing address

3025 City View Dr
Parkersburg, WV 26101-6232
Phone (304) 481-8437

Other names 1

  • Dr. Holly Laraine Currey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090529000255 OH Practitioner - Optometry 9830294503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 2ND St
Marietta, OH 45750-2919
Phone (740) 374-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5542OHMDPsychologist
1029-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Vision Center LLC CurrentSince Jan 1, 2012 Accepting new patients
Visionary Eye Clinic PLLC Optometrist PastSince Nov 24, 2024 Accepting new patients
R Joe Weaver OD Optometrist Past Accepting new patients

Locations

316 2nd St
Marietta, OH 45750
Phone (740) 374-3937

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1316966823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 CITY VIEW DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016232",
            "telephone_number": "304-481-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUT",
        "first_name": "HOLLY",
        "middle_name": "LARAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1029-OD",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "CURREY",
            "middle_name": "LARAINE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.