Individual provider Active NPI

Edward J Holland, MD

  • Ophthalmology Physician
  • Edgewood, KY
National Provider Identifier
1720021199
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35605 Issued in KY
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180038906OtherKYRAILROAD MEDICARE
200259180MedicaidIN
3810009070MedicaidWV
01484326MedicaidNY
180038905OtherOHRAILROAD MEDICARE
000000075280OtherBCBS
64004476MedicaidKY
4046569MedicaidTN
81958100MedicaidWI
2152316MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100225000320 OH Practitioner - Ophthalmology 6608910823 Reassigns benefits to 1 organization
I20111117000448 KY Practitioner - Ophthalmology 6608910823 Reassigns benefits to 1 organization

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, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

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 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35605KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Aug 1, 2000 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Mar 1, 2000 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Mar 1, 2000 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.