Gavin Hollyer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

61538894 Issued in WA

Practice address

1721 22ND Ave
Seattle, WA 98122-2915

Phone

(206) 395-2285

NPI assigned

Jun 8, 2024

Last updated

Jun 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Family Eyecare, P.C.Group PAC ID 2961664024, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Family Eyecare, P.C.

  • Optometrist
  • Bainbridge Island, WA
  • NPI 1245525336
  Medicare reassignment Care Compare group NPD
• Optometry Medical Group Inc

  dba Optometry Medical Group

  • Optometrist
  • Seattle, WA
  • NPI 1598370371
  NPD
• Jackson Vision Clinic Inc

  • Optometrist
  • Seattle, WA
  • NPI 1215121140
  NPD (past)

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1336981679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 22ND AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222915",
            "telephone_number": "206-395-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 22ND AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222915",
            "telephone_number": "206-395-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYER",
        "first_name": "GAVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61538894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollowbone Medicine, Inc
• Thomas Hollowed, MD
• Bobby Walker Hollowell, CPHT
• Holly a. Hochstadt, D.C., P.S. (Inner Brilliance Chiropractic)
• Holly Grigsby, PLLC (Holly Grigsby Psychotherapy)
• James R Holm, M.D.
• Melissa Ann Holm, LMP
• Skye Holm, MD
• Gareth Ian Holman, PH.D.
• Joan Donovan Holman, M.D.

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.