Individual provider Active NPI

James D Hollon, O.D.

  • Optometrist
  • Laramie, WY
National Provider Identifier
1457489262
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WY94T Issued in WY
Practice address
418 S 5TH St
Laramie, WY 82070-3733
Phone
(307) 745-8554
Fax
(307) 755-5929
NPI assigned
Mar 1, 2007
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WY94T WY Primary

Addresses

Primary practice location

418 S 5TH St
Laramie, WY 82070-3733

Mailing address

418 S 5TH St
Albany Eye Care
Laramie, WY 82070-3733
Phone (307) 745-8554

Other identifiers 1

IdentifierTypeStateIssuer
106477100MedicaidWY

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

State licenses

LicenseStateTypeSpecialty
WY94TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Eye Care, LLC Optometrist PastSince May 3, 2009 Accepting new patients
Precision Spinal Care LLC Past Accepting new patients

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1457489262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "address_2": "ALBANY EYE CARE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLON",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "WY94T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106477100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.