Holicki Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HOLICKI OPTICAL INC.

Practice address

1409 S Lakeview Ave
Sturgis, MI 49091-2350

Phone

(269) 651-4545

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Joseph Holicki, DO

Title

Owner

Phone

(517) 279-6335

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Holicki Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, MI
  • NPI 1386637957

  O20040511000117

  Same enrollment

Locations

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1861786758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD STE 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": "1409 S LAKEVIEW AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912350",
            "telephone_number": "269-651-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLICKI OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLICKI",
        "authorized_official_first_name": "JOSEPH",
        "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
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900045114",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEID OF MI",
            "identifier": "OG50032",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amiya Kay Hendrickson
• Mark Donald Henson Bohlen, LMSW
• Jodee Mitte Higgs
• Diana Mae Hile
• Erika Allison Hinga, MA, PSYCHOLOGIST
• Sandra Lynne Holman
• Hope House Recovery House
• Hospice of Thurston. Inc.
• Kari M Hoyt, O.D.
• April Hurley

• Optometrist in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.