Individual provider Active NPI

Derick Garey Holt, M.D., PH.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Fresno, CA
National Provider Identifier
1386886729
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
A130445 Issued in CA
Practice address
7075 N Sharon Ave
Fresno, CA 93720-3329
Phone
(559) 486-2000
Fax
(559) 256-8575
NPI assigned
Mar 31, 2009
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 130445 CA
Ophthalmology Physician 207W00000X 49904 TN
Pediatrics Physician 208000000X 130445 CA
Pediatrics Physician 208000000X MD49904 TN
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X A130445 CA Primary

Addresses

Primary practice location

7075 N Sharon Ave
Fresno, CA 93720-3329

Mailing address

7075 N Sharon Ave
Fresno, CA 93720-3329
Phone (559) 486-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623002778 CA Practitioner - Ophthalmology 4082854088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7075 N Sharon Ave
Fresno, CA 93720-3329
Phone (559) 486-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.05 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
49904TNMDOphthalmology Physician
A130445CAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician
130445CAMDPediatrics Physician
MD49904TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Center, a Medical Group, Inc Ophthalmology CurrentSince Jul 28, 2014 Accepting new patients
Vision Care Center, a Medical Group Inc CurrentSince Jul 28, 2014 Accepting new patients
Vision Care Center, a Medical Group Inc Ophthalmology CurrentSince Jul 28, 2014 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Vision Care Center, a Medical Group, Inc Ophthalmology Past Accepting new patients

Locations

2535 Alluvial Ave
Clovis, CA 93611
Phone (559) 486-2000

7075 N Sharon Ave
Fresno, CA 93720
Phone (559) 486-2000

2719 Cinema Way
Selma, CA 93662
Phone (559) 486-2000

Interoperability endpoints

  • Direct secure messaging: derick.holt.p1@direct.eyeqvc.nextgenshare.com

Organizations & group practices 6

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1386886729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DERICK",
        "middle_name": "GAREY",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "130445",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "49904",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "130445",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD49904",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CA",
            "license": "A130445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.