Active NPI
Edward J Holland, MD
- Ophthalmology Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35605
- Practice address
- 580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415 - Phone
- (513) 569-3741
- Fax
- (513) 569-3941
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35077410 | OH | |
| Ophthalmology Physician | 207W00000X | 35605 | KY | Primary |
Addresses
Primary practice location
580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Mailing address
580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone (513) 569-3741
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180038906 | Other | KY | RAILROAD MEDICARE |
| 200259180 | Medicaid | IN | |
| 3810009070 | Medicaid | WV | |
| 01484326 | Medicaid | NY | |
| 180038905 | Other | OH | RAILROAD MEDICARE |
| 000000075280 | Other | BCBS | |
| 64004476 | Medicaid | KY | |
| 4046569 | Medicaid | TN | |
| 81958100 | Medicaid | WI | |
| 2152316 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cei Physicians PSC, LLC
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35605 | KY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Cei Physicians PSC LLC | Past | Accepting new patients |
Locations
20 Medical Village Dr
Ste 200
Edgewood, KY 41017
Phone (859) 301-4000
580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000
7388 Turfway Rd
Florence, KY 41042
Phone (606) 331-9000
1945 Cei Dr
Blue Ash, OH 45242
10700 Montgomery Rd
Montgomery, OH 45242
Phone (513) 385-9600
Interoperability endpoints
- edward.holland.p1@direct.cei.nextgenshare.com
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
dba Cincinnati Eye Institute
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
dba Cleveland Surgical Suites
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
dba CVP Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1720021199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 S LOOP RD",
"address_2": "SUITE 200",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173415",
"telephone_number": "513-569-3741",
"fax_number": "513-569-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 S LOOP RD",
"address_2": "SUITE 200",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173415",
"telephone_number": "513-569-3741",
"fax_number": "513-569-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35077410",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "35605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180038906",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200259180",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009070",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01484326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180038905",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000075280",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64004476",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4046569",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81958100",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2152316",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.