NPIMap

Organization Active NPI

Holicki Optical Inc

  • Optometrist
  • Angola, IN
National Provider Identifier
1821382714
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOLICKI OPTICAL INC
Practice address
1202 N Wayne St
Angola, IN 46703-2343
Phone
(260) 665-2825
NPI assigned
Jun 8, 2011
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Joseph P Holciki, DO
Title
Owner
Phone
(517) 279-6335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1202 N Wayne St
Angola, IN 46703-2343

Mailing address

142 E Chicago Rd
Suite B
Coldwater, MI 49036-8449
Phone (517) 279-6335

Other identifiers 1

IdentifierTypeStateIssuer
000000660241OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117001712 IN Part B Supplier - Clinic/Group Practice 9234128604 Receives reassigned benefits from 3 practitioners
Practice locations: Angola, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1202 N Wayne St
Angola, IN 46703
Phone (260) 665-2825

142 E Chicago Rd
Ste B
Coldwater, MI 49036
Phone (517) 279-6335

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1821382714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "address_2": "SUITE B",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368449",
            "telephone_number": "517-279-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032343",
            "telephone_number": "260-665-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLICKI OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "HOLCIKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-279-6335",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000660241",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.