Malon Paul Holland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S393TA238 Issued in AL

Practice address

414 Parks Ave
Scottsboro, AL 35768-2440

Phone

(256) 259-1614

Fax

(256) 259-1614

NPI assigned

Sep 22, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AL

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

University Alabama Birmingham - School of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1730288135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PARKS AVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682440",
            "telephone_number": "256-259-1614",
            "fax_number": "256-259-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PARKS AVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682440",
            "telephone_number": "256-259-1614",
            "fax_number": "256-259-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MALON",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S393TA238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Hill Hodges, M.D.
• J Talese Holcomb Berry, MSCCC-SLP
• Holland Family Dentistry, Scottsboro, LLC
• Alex Hunter Holland, DMD
• Madison Jane Holland
• Autumn Paige Holt, CRNP
• Home Medical Express, LLC
• Eleni Maria Honderich, M.ED., NCC
• Charles E Hood, MD
• Kaitlin Victoria Ikard, M.S., CF-SLP

• Optometrist in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.