Active NPI
Paul W Holland, O.D.
- Optometrist
- Sierra Vista, AZ
National Provider Identifier
1427021914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 525
- Practice address
- 75 Colonia de Salud
#A100
Sierra Vista, AZ 85635-2487 - Phone
- (520) 459-6860
- Fax
- (520) 459-6858
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 525 | AZ | Primary |
Addresses
Primary practice location
75 Colonia de Salud
#A100
Sierra Vista, AZ 85635-2487
Mailing address
2610 E University Dr
Mesa, AZ 85213-8436
Phone (480) 892-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1427021914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 E UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852138436",
"telephone_number": "480-892-8400",
"fax_number": "480-892-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 COLONIA DE SALUD",
"address_2": "#A100",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352487",
"telephone_number": "520-459-6860",
"fax_number": "520-459-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "PAUL",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.