Individual provider Active NPI

Brandon Chase Holliman, OD

  • Optometrist
  • Kingsport, TN
National Provider Identifier
1558214155
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3974 Issued in TN
Practice address
1203 N Eastman Rd
Kingsport, TN 37664-3145
Phone
(423) 247-3321
NPI assigned
Feb 16, 2026
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3974 TN Primary

Addresses

Primary practice location

1203 N Eastman Rd
Kingsport, TN 37664-3145

Mailing address

1203 N Eastman Rd
Kingsport, TN 37664-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20260429003101 TN Practitioner - Optometry 5294202099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1203 N Eastman Rd
Kingsport, TN 37664-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care and Pediatric Vision Center, PLLC Optometrist CurrentSince Jun 1, 2008 Accepting new patients

Locations

1203 N Eastman Rd
Kingsport, TN 37664
Phone (423) 247-3321

Organizations & group practices 1

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1558214155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643145",
            "telephone_number": "423-247-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIMAN",
        "first_name": "BRANDON",
        "middle_name": "CHASE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.