Organization Active NPI

Holicki Eye Centers, P.C.

  • Ophthalmology Physician
  • Coldwater, MI
National Provider Identifier
1811980386
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HOLICKI EYE CENTERS, P.C.
Practice address
142 E Chicago Rd
Coldwater, MI 49036-8449
Phone
(517) 279-7927
Fax
(517) 278-3393
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Michelle Sharp
Title
Office Manager
Phone
(517) 279-7927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

142 E Chicago Rd
Coldwater, MI 49036-8449

Mailing address

142 E Chicago Rd
Coldwater, MI 49036-8423
Phone (517) 279-7927

Other identifiers 2

IdentifierTypeStateIssuer
200213090DMedicaidIN
3519504MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040722000211 MI Part B Supplier - Clinic/Group Practice 3476533324 Receives reassigned benefits from 4 practitioners
Practice locations: Coldwater, MI; Sturgis, MI
O20050901000212 IN Part B Supplier - Clinic/Group Practice 3476533324 Receives reassigned benefits from 9 practitioners
Practice locations: Angola, IN

National Provider Directory

National Provider Directory

Locations

1202 N Wayne St
Ste 2
Angola, IN 46703

142 E Chicago Rd
Ste A
Coldwater, MI 49036
Phone (517) 279-7927

1409 S Lakeview Ave
Sturgis, MI 49091
Phone (269) 651-4545

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1811980386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368423",
            "telephone_number": "517-279-7927",
            "fax_number": "517-278-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368449",
            "telephone_number": "517-279-7927",
            "fax_number": "517-278-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLICKI EYE CENTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-279-7927"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200213090D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3519504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.