Organization Active NPI

Holland Eye Center, PC

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1609180744
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32509 Issued in SC
Legal business name
HOLLAND EYE CENTER, PC
Practice address
612 Grove Rd
Greenville, SC 29605-4209
Phone
(864) 312-3399
Fax
(864) 312-3390
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Dr. Elizabeth Y Holland, M.D.NPI 1740236611
Title
Owner/M.D.
Phone
(864) 312-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 32509 SC Primary

Addresses

Primary practice location

612 Grove Rd
Greenville, SC 29605-4209

Mailing address

612 Grove Rd
Greenville, SC 29605-4209
Phone (864) 312-3399

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000737 SC Part B Supplier - Clinic/Group Practice 0345364980 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

612 Grove Rd
Greenville, SC 29605
Phone (864) 312-3399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1609180744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054209",
            "telephone_number": "864-312-3399",
            "fax_number": "864-312-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054209",
            "telephone_number": "864-312-3399",
            "fax_number": "864-312-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "864-312-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "32509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.