Holley Elizabeth Skinner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2728 Issued in AR

Practice address

201 W Holly St
Sheridan, AR 72150-2425

Phone

(870) 942-3621

Fax

(870) 942-7825

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Eye Clinic PAGroup PAC ID 4284633157, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hskinner@deereye.intellechartdirect.net

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.

• Deer Eye Clinic PA

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1396813945
  Medicare reassignment Care Compare group NPD
• Bryant Eyecare Clinic

  • Optometrist
  • Bryant, AR
  • NPI 1407047897
  Medicare reassignment NPD
• Deer Optical

  • Eyewear Supplier
  • Little Rock, AR
  • NPI 1437471588
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1851777445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15964 NORTHVIEW DR",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656258985",
            "telephone_number": "417-236-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HOLLY ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502425",
            "telephone_number": "870-942-3621",
            "fax_number": "870-942-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "HOLLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Family Pharmacy LLC
• Sheridan Medical Associates
• Sheridan Physical Therapy Clinic
• Sheridan School District
• John B Simpson, M.D.
• Smile Center of Sheridan, PLLC
• Alexandra Smith, LCSW
• Casey Smith, PLMSW
• Charlotte Smith, MHPP
• Shanna Smith, QBHP

• Optometrist in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.