Individual provider Active NPI

Chelsea Casaccia Hollier, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1760006449
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005799 Issued in FL
Practice address
4407 W Vasconia St
Tampa, FL 33629-8325
Phone
(901) 340-1142
NPI assigned
May 29, 2020
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005799 FL Primary

Addresses

Primary practice location

4407 W Vasconia St
Tampa, FL 33629-8325

Mailing address

407 Avenue K SE
Winter Haven, FL 33880-4126
Phone (863) 294-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200622001274 FL Practitioner - Optometry 0446672471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Eye Clinic and Associates PAGroup PAC ID 8123928868, 17 clinicians

Practice addresses (Care Compare)

3000 W ML King Jr Blvd
Tampa, FL 33607-6351
Phone (813) 877-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005799FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Eye Clinic and Associates PA CurrentSince Dec 9, 2024 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jun 15, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Eye Specialists of Mid Florida PA Optometrist CurrentSince Dec 14, 2021 Accepting new patients
Eye Specialists of Mid Florida, PA CurrentSince Dec 14, 2021 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Aug 1, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Orlick & Kasper , MDS, PA Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

100 Patterson Rd
Haines City, FL 33844
Phone (863) 294-3504

2004 E County Road 540A
Lakeland, FL 33813
Phone (863) 294-3504

1001 Dale Mabry Hwy
Lutz, FL 33548

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

3000 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Phone (813) 877-2020

3000 W Mlk Blvd
Tampa, FL 33607
Phone (813) 877-2020

3643 S Dale Mabry Hwy
Tampa, FL 33629
Phone (813) 321-1875

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

407 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

Interoperability endpoints

  • Direct secure messaging: chelsea.hollier.p1@direct.tec.nextgenshare.com
  • Direct secure messaging: chelsea.hollier@esmf.direct.eyemdemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1760006449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 W VASCONIA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298325",
            "telephone_number": "901-340-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIER",
        "first_name": "CHELSEA",
        "middle_name": "CASACCIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.