Mark Edward Holliday, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

817 OD Issued in WV

Practice address

1928 Harper Rd
Beckley, WV 25801-2612

Phone

(304) 252-1299

Fax

(304) 253-4079

NPI assigned

May 18, 2006

Last updated

Jul 12, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Beckley Vision Center, PLLC

  • Optometrist
  • Beckley, WV
  • NPI 1740323625
  Medicare reassignment NPD Authorized official
• David R Holliday OD

  dba Waitkus Eye Center

  • Optometrist
  • Beckley, WV
  • NPI 1619149903
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1457304701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "817 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002000000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Joe Holbrook
• Amber Holcomb, O.T.A.
• Catherine Holdren
• Ingrid Holley
• David Ross Holliday, OD
• Parthenia J Holly, CRNA, DMPNA
• Courtney Holmes
• Daniel Joseph Holovic, O.D.
• Krystal Mae Holt, PRSS 20.906
• Frank Michael Holtzapfel

• Optometrist in Beckley, WV
• Providers in Beckley, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.