Individual provider Active NPI

Holly A Hardie, O.D.

  • Optometrist
  • Monroe, MI
National Provider Identifier
1679885669
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5956 Issued in OH
Practice address
750 Stewart Rd Ste 2
Monroe, MI 48162-4279
Phone
(734) 242-8630
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 5956 OH Primary

Addresses

Primary practice location

750 Stewart Rd Ste 2
Monroe, MI 48162-4279

Mailing address

750 Stewart Rd Ste 2
Monroe, MI 48162-4279
Phone (734) 242-8630

Other practice location 1

6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0050
Phone (734) 854-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140905001690 MI Practitioner - Optometry 0042492308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert C Layman OD IncGroup PAC ID 6002906328, 5 clinicians
Monroe Vision Source, PLCGroup PAC ID 8022335884, 4 clinicians

Practice addresses (Care Compare)

6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0050
Phone (734) 854-3937

750 Stewart Rd
Suite 2
Monroe, MI 48162-4279
Phone (734) 242-8630

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5956OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Layman O.D. , Inc. Optometrist Current Accepting new patients
Robert C Layman OD Inc Optometrist CurrentSince Oct 1, 2014 Accepting new patients
Monroe Vision Source, PLC Optometrist CurrentSince Jan 3, 2015 Accepting new patients

Locations

6650 Summerlyn Lakes Dr
Lambertville, MI 48144
Phone (734) 854-3937

3309 Quail Hollow Dr
Ste E
Lambertville, MI 48144
Phone (313) 854-5868

750 Stewart Rd
Ste 2
Monroe, MI 48162
Phone (734) 242-8630

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1679885669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STEWART RD STE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624279",
            "telephone_number": "734-242-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STEWART RD STE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624279",
            "telephone_number": "734-242-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 Summerlyn Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481440050",
            "country_code": "US",
            "telephone_number": "734-854-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.