Individual provider Active NPI

Holli Ann Groff, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1790750867
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5867TG Issued in TX
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
286741801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000417 TX Practitioner - Optometry 5294836672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001030495MOMDOptometrist
5867TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fvcoc, LLC Optometrist CurrentSince May 26, 2023 Accepting new patients
Wavefront Eyecare & Optical PA Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Eyecount Ventures LLC. Optometrist CurrentSince May 26, 2023 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 PastSince Aug 25, 2003 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.