Individual provider Active NPI

Linda Hollibaugh, ABOC, RDO

  • Optician
  • Katy, TX
National Provider Identifier
1548415938
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
12713 Issued in DC
Practice address
5805 Highway Blvd
Suite a
Katy, TX 77494-1206
Phone
(281) 391-3111
Fax
(281) 391-3110
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DR4079 TX
Optician 156FX1800X 268 TX
Optician 156FX1800X 12713 DC Primary

Addresses

Primary practice location

5805 Highway Blvd
Suite a
Katy, TX 77494-1206

Mailing address

5805 Hwy Blvd
Suite a
Katy, TX 77494
Phone (281) 391-3111

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12713DCMDOptician
268TXMDOptician
DR4079TXMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1548415938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 HWY BLVD",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-391-3111",
            "fax_number": "281-391-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 HIGHWAY BLVD",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941206",
            "telephone_number": "281-391-3111",
            "fax_number": "281-391-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIBAUGH",
        "first_name": "LINDA",
        "credential": "ABOC, RDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "DR4079",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "268",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "DC",
            "license": "12713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.