Individual provider Active NPI

Hollie Doyle, OD

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1326884180
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4014-35 Issued in WI
Practice address
17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059
Phone
(262) 797-9638
NPI assigned
Jul 2, 2024
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4014-35 WI Primary

Addresses

Primary practice location

17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059

Mailing address

17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240909002325 WI Practitioner - Optometry 4880134550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17495 W Capitol Dr
Brookfield, WI 53045-2059

17495 W Capitol Dr St D
Brookfield, WI 53045-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4014-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Brook Eye Care LLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Phillip E Roy Optometrist Past Accepting new patients

Locations

17495 W Capitol Dr
Ste D
Brookfield, WI 53045
Phone (262) 797-9638

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1326884180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17495 W CAPITOL DR STE D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 W CAPITOL DR STE D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452059",
            "telephone_number": "262-797-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "HOLLIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "4014-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.