Active NPI
Holli Ann Groff, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1790750867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5867TG
- Practice address
- 1200 McKinney St Ste 411
Houston, TX 77010-2038 - Phone
- (713) 759-9449
- Fax
- (713) 759-6915
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1623 | KS | |
| Optometrist | 152W00000X | 2001030495 | MO | |
| Optometrist | 152W00000X | 5867TG | TX | Primary |
Addresses
Primary practice location
1200 McKinney St Ste 411
Houston, TX 77010-2038
Mailing address
21502 Merchants Way
Katy, TX 77449-2517
Phone (281) 944-2232
Other practice location 1
902 Frostwood Dr
Suite 256
Houston, TX 77024-2420
Phone (713) 935-9485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286741801 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | holli.groff@direct.berkeleyeye.com | Berkeley Eye Institute, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001030495 | MO | MD | Optometrist |
| 5867TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fvcoc, LLC | Optometrist | Current | Accepting new patients |
| Wavefront Eyecare & Optical PA | Optometrist | Current | Accepting new patients |
| Eyecount Ventures LLC. | Optometrist | Current | Accepting new patients |
| Berkeley Eye Institute, PLLC | Optometrist | Past | Accepting new patients |
| Professional Eyecare Zona Rosa Inc. | Optometrist | Past | Accepting new patients |
| Clear Lake Eye Center LLP | Optometrist | Past | Accepting new patients |
| Eye Excellence PA | Optometrist | Past | Accepting new patients |
| Krannawitter Eye Care PA | Optometrist | Past | Accepting new patients |
Locations
14700 FM 2100 Rd
Ste 3
Crosby, TX 77532
Phone (281) 328-2020
23128 FM 1314 Rd
#A
Porter, TX 77365
Phone (281) 354-0900
120 Northshore Blvd
Ste A
Portland, TX 78374
Interoperability endpoints
- holli.groff@uprisedirect.com
Organizations & group practices 8
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.
-
- Optometrist
- Crosby, TX
- NPI 1538292586
-
- Optometrist
- Portland, TX
- NPI 1639460629
-
- Optometrist
- Porter, TX
- NPI 1215221619
-
- Optometrist
- Houston, TX
- NPI 1255338612
-
- Optometrist
- Lenexa, KS
- NPI 1316989064
-
- Optometrist
- Kansas City, MO
- NPI 1336291913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1790750867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21502 MERCHANTS WAY",
"city": "KATY",
"state": "TX",
"postal_code": "774492517",
"telephone_number": "281-944-2232",
"fax_number": "281-944-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MCKINNEY ST STE 411",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770102038",
"telephone_number": "713-759-9449",
"fax_number": "713-759-6915"
}
],
"practiceLocations": [
{
"address_1": "902 Frostwood Dr",
"address_2": "Suite 256",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242420",
"country_code": "US",
"telephone_number": "713-935-9485",
"fax_number": "713-935-0326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROFF",
"first_name": "HOLLI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2023-11-27",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1623",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2001030495",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5867TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286741801",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "holli.groff@direct.berkeleyeye.com",
"affiliation": "Y",
"affiliationName": "Berkeley Eye Institute, PLLC",
"address_1": "1200 McKinney St Ste 411",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770102038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.