Individual provider Active NPI

Holly E Golebiowski, O.D.

  • Optometrist
  • Acton, MA
National Provider Identifier
1366703589
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4923 Issued in MA
Practice address
179 Great Rd Ste 111a
Acton, MA 01720-5740
Phone
(978) 705-2888
Fax
(978) 705-2888
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4923 MA Primary

Addresses

Primary practice location

179 Great Rd Ste 111a
Acton, MA 01720-5740

Mailing address

179 Great Rd Ste 111a
Acton, MA 01720-5740
Phone (978) 705-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121029000407 MA Practitioner - Optometry 5597915579 Reassigns benefits to 3 organizations
Practice locations: Acton, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natick Eye Holdings, LLCGroup PAC ID 3173067527, 7 clinicians

Practice addresses (Care Compare)

1364 Worcester St
Natick, MA 01760-1514
Phone (508) 655-8127

179 Great Rd
Suite 111a
Acton, MA 01720-5740
Phone (978) 705-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4923MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Natick Eye Holdings, LLC Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Golebiowski Eye Care LLC Optometrist CurrentSince Jul 23, 2024 Accepting new patients

Locations

179 Great Rd
Ste 111A
Acton, MA 01720
Phone (978) 705-2888

342 Great Rd
Acton, MA 01720
Phone (978) 263-1968

1364 Worcester St
Natick, MA 01760
Phone (508) 653-2102

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1366703589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 111A",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-705-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 111A",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-705-2888",
            "fax_number": "978-705-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEBIOWSKI",
        "first_name": "HOLLY",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.