Individual provider Active NPI

Timothy Daniel Holley, M.D.

  • Ophthalmology Physician
  • Mechanicsville, VA
National Provider Identifier
1679014880
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101271960 Issued in VA
Practice address
7575 Cold Harbor Road
Mechanicsville Medical Center Building 2, Suite 1E
Mechanicsville, VA 23111-1600
Phone
(804) 270-0330
NPI assigned
Mar 20, 2017
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101271960 VA Primary

Addresses

Primary practice location

7575 Cold Harbor Road
Mechanicsville Medical Center Building 2, Suite 1E
Mechanicsville, VA 23111-1600

Mailing address

9 Pickett Ave
Sandston, VA 23150-1426
Phone (954) 598-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001980 VA Practitioner - Ophthalmology 4587063383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Florida International Univ, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Eye Associates PCGroup PAC ID 6507848306, 7 clinicians

Practice addresses (Care Compare)

7575 Cold Harbor Rd
1E
Mechanicsville, VA 23111-1600
Phone (804) 730-2250

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
45.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Eye Associates, P.C. Ophthalmology CurrentSince Jul 15, 2021 Accepting new patients
Richmond Eye Associates, P.C. CurrentSince Jul 15, 2021 Accepting new patients

Locations

4600 Cox Rd
Ste 120
Glen Allen, VA 23060
Phone (804) 270-0330

7575 Cold Harbor Rd
Ste 1E
Mechanicsville, VA 23111
Phone (804) 270-0330

Interoperability endpoints

  • Direct secure messaging: tholley@richmondeye.intellechartdirect.net

Organizations & group practices 2

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1679014880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PICKETT AVE",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501426",
            "telephone_number": "954-598-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 COLD HARBOR ROAD",
            "address_2": "MECHANICSVILLE MEDICAL CENTER BUILDING 2, SUITE 1E",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111600",
            "telephone_number": "804-270-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101271960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.