Individual provider Active NPI

Jeffrey Boyace Holland, O.D.P.C

  • Optometrist
  • Boulder, CO
National Provider Identifier
1811950496
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO2298 Issued in CO
Practice address
1350 College Ave
Suite 100
Boulder, CO 80302-7300
Phone
(303) 444-3092
Fax
(303) 938-0572
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2298 CO
Optometrist 152W00000X CO2298 CO Primary

Addresses

Primary practice location

1350 College Ave
Suite 100
Boulder, CO 80302-7300

Mailing address

1350 College Ave
Suite 100
Boulder, CO 80302-7300
Phone (303) 444-3092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151103002230 CO Practitioner - Optometry 9436469434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1350 College Ave
Unit 100
Boulder, CO 80302-7389
Phone (303) 444-3092

15400 E 103Rd PL
Commerce City, CO 80022-0710
Phone (720) 288-0155

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO2298COMDOptometrist
2298COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Reunion Optical LLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Jeffrey B Holland OD PC Optometrist CurrentSince Sep 6, 2015 Accepting new patients
Boyace J. Holland, O.D. Optometrist Past Accepting new patients

Locations

1350 College Ave
Unit 100
Boulder, CO 80302
Phone (303) 444-3092

15400 E 103rd Pl
Commerce City, CO 80022
Phone (303) 579-8683

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1811950496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLLEGE AVE",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027300",
            "telephone_number": "303-444-3092",
            "fax_number": "303-938-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLLEGE AVE",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027300",
            "telephone_number": "303-444-3092",
            "fax_number": "303-938-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JEFFREY",
        "middle_name": "BOYACE",
        "name_prefix": "Dr.",
        "credential": "O.D.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2298",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO2298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.