Holicki Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOLICKI OPTICAL INC

Practice address

142 E Chicago Rd
Ste B
Coldwater, MI 49036

Phone

(517) 279-6335

Fax

(517) 278-3393

NPI assigned

Aug 29, 2005

Last updated

Mar 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Peter Holicki, DONPI 1689660920

Title

Owner

Phone

(517) 279-6335

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Holicki Optical Inc

  • Optometrist
  • Angola, IN
  • NPI 1821382714

  9234128604

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Holicki Optical Inc.

  • Optometrist
  • Sturgis, MI
  • NPI 1861786758

  O20040511000117

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Peter Holicki, DO

  • Ophthalmology Physician
  • Coldwater, MI
  • NPI 1689660920
  Medicare reassignment NPD Authorized official
• Madeleine J Holicki, OD

  • Optometrist
  • Coldwater, MI
  • NPI 1043885262
  Medicare reassignment NPD
• Matthew Laurence Decker, O.D.

  • Optometrist
  • Coldwater, MI
  • NPI 1184075608
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1386637957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "address_2": "STE B",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-279-6335",
            "fax_number": "517-278-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "address_2": "STE B",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-279-6335",
            "fax_number": "517-278-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLICKI OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLICKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-279-6335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004481",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "0N88010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF MICHIGAN",
            "identifier": "540A210570",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF MI",
            "identifier": "900A210610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Hill
• Larry Dayne Himebaugh, D.D.S.
• Niki Louise Hinde, PT, DPT
• Heidi Ruth Hodshire
• Holicki Eye Centers, P.C.
• Joseph Peter Holicki, DO
• Madeleine J Holicki, OD
• Home Roots Companion & Home Health Services, LLC
• Home Roots Liquid Wellness LLC
• Hope Network

• Durable Medical Equipment & Medical Supplies in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.