Brett Michael Hollenbach

Primary specialty

OptometristTaxonomy code 152W00000X

License

3647 Issued in MN

Practice address

50 McNaughten Rd
Columbus, OH 43213-2120

Phone

(847) 293-6906

NPI assigned

Aug 25, 2018

Sex

Male

Sole proprietor

No

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 MN

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

Specialty

Optometry

Education

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Doctors Office PAGroup PAC ID 5294720777, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• The Eye Doctors Office, PA

  • Optometrist
  • Wayzata, MN
  • NPI 1962527754
  Medicare reassignment Care Compare group NPD
• Pinecone Vision Center, PA

  • Optometrist
  • Sartell, MN
  • NPI 1790830701
  Medicare reassignment NPD
• Pinecone Vision Center, PA

  • Optometrist
  • St. Cloud, MN
  • NPI 1295468098
  NPD
• The Eye Doctors Office, PA

  • Optometrist
  • Minneapolis, MN
  • NPI 1003260290
  NPD

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1669953873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MCNAUGHTEN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132120",
            "telephone_number": "847-293-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBACH",
        "first_name": "BRETT",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-25",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Holland
• Stephanie A Holland, CNP
• Tia Holland, LPN
• Ephraim L Hollander, M.D.
• Elizabeth Theresa Holle, MSN, RN, CCRN, NP-C
• J. Robert Hollenbach, MD
• Jill Hollenbaugh, LSW
• Jordyn Alexis Hollenbeck, LPCC
• Jillian Hollett
• Anna Lynn Holliday, LMT

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.