Kailey Holzman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ATI4788 Issued in OR

Practice address

13558 Jason Lee Dr
Oregon City, OR 97045-2840

Phone

(630) 383-8278

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Provider Enterprise LLCGroup PAC ID 0840458667, 8 clinicians

Practice addresses (Care Compare)

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.

• Professional Provider Enterprise LLC

  • Optometrist
  • Omaha, NE
  • NPI 1770852196

  OR, WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1598656365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W 110TH ST STE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101892",
            "telephone_number": "877-674-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13558 JASON LEE DR",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452840",
            "telephone_number": "630-383-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "KAILEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessie Hollister, RN, MSN
• Maxine Elizabeth Holmes, OTD, OTR/L
• Ryan Holmes
• Stephanie Lee Holt, M.S. QMHP
• Aaron Butler Holtz, PT
• Madeline Iona Hoon, DO
• Christopher Jackson Hoots
• Caroline Jessica Ann Hoover, M.A. MFT
• Jennifer Hopkinson, MSW, LCSW
• Jonathan H Hoppert, MD

• Optometrist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.