Individual provider Active NPI

Robert Hollenbach, O.D.

  • Optometrist
  • York, PA
National Provider Identifier
1801882113
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000167 Issued in PA
Practice address
2700 Eastern Blvd
York, PA 17402-2906
Phone
(717) 757-7023
Fax
(717) 747-0123
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000167 PA Primary

Addresses

Primary practice location

2700 Eastern Blvd
York, PA 17402-2906

Mailing address

2700 Eastern Blvd
York, PA 17402-2906
Phone (717) 757-7023

Other identifiers 3

IdentifierTypeStateIssuer
626335OtherPABLUE SHIELD
50006419OtherPABLUE CROSS
0165770002OtherPADMERC REGION D

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041220000310 PA Practitioner - Optometry 9335106574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients

Locations

2791 S Queen St
Dallastown, PA 17313
Phone (717) 741-4788

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

1555 Highlands Dr
Ste 180
Lititz, PA 17543
Phone (717) 625-4600

2700 Eastern Blvd
York, PA 17402
Phone (717) 757-7023

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: drhollenbach@directaddress.net

Organizations & group practices 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1801882113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022906",
            "telephone_number": "717-757-7023",
            "fax_number": "717-747-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022906",
            "telephone_number": "717-757-7023",
            "fax_number": "717-747-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBACH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "626335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50006419",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION D",
            "identifier": "0165770002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.