Individual provider Active NPI

Julia Holley

  • Optometrist
  • San Diego, CA
National Provider Identifier
1790516888
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35807TLG Issued in CA
Practice address
8010 Frost St Ste 510
San Diego, CA 92123-4284
Phone
(858) 278-9900
Fax
(858) 278-9984
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35807TLG CA Primary

Addresses

Primary practice location

8010 Frost St Ste 510
San Diego, CA 92123-4284

Mailing address

1747 Chalcedony St Apt 9
San Diego, CA 92109-3211

Other practice location 1

7841 Fay Ave
LA Jolla, CA 92037-4251
Phone (858) 454-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241030002559 CA Practitioner - Optometry 3274066139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
GW Eye Associates IncGroup PAC ID 2062304397, 4 clinicians

Practice addresses (Care Compare)

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

8010 Frost St
Suite 510
San Diego, CA 92123-4284
Phone (858) 278-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35807CAMDGeneral Practice Dentistry
35807TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Aug 7, 2025 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Aug 7, 2025 Accepting new patients
GW Eye Associates Inc Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Wink Optometry del Mar Inc Optometrist PastSince Sep 1, 2024 Accepting new patients
Thomas S. Tooma, M.D. a Professional Corporation Past Accepting new patients

Locations

7841 Fay Ave
La Jolla, CA 92037
Phone (858) 454-4699

3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371

8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1790516888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 CHALCEDONY ST APT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FROST ST STE 510",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234284",
            "telephone_number": "858-278-9900",
            "fax_number": "858-278-9984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7841 Fay Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374251",
            "country_code": "US",
            "telephone_number": "858-454-4699",
            "fax_number": "858-454-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35807TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.