Organization Active NPI

Hollier Eyecare, LLC

  • Optometrist
  • Gaithersburg, MD
National Provider Identifier
1780833897
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1958 Issued in MD
Legal business name
HOLLIER EYECARE, LLC
Practice address
832 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone
(301) 330-9545
Fax
(301) 330-9547
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. An Hollier, O.D.NPI 1316159650
Title
Optometrist
Phone
(301) 330-9545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1958 MD Primary

Addresses

Primary practice location

832 Muddy Branch Rd
Gaithersburg, MD 20878-2780

Mailing address

832 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 330-9545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081028000636 DC Part B Supplier - Clinic/Group Practice 9537227939 Receives reassigned benefits from 2 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

832 Muddy Branch Rd
Gaithersburg, MD 20878
Phone (301) 330-9545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1780833897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MUDDY BRANCH RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782780",
            "telephone_number": "301-330-9545",
            "fax_number": "301-330-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MUDDY BRANCH RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782780",
            "telephone_number": "301-330-9545",
            "fax_number": "301-330-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIER EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLLIER",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-330-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.