Active NPI
Ashley Marie Holodnak, L.O.
- Optician
- New Haven, CT
National Provider Identifier
1881115657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1711
- Practice address
- 130 Amity Road
New Haven, CT 06515-0651 - Phone
- (203) 397-3878
- Fax
- (203) 397-9110
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1711 | CT | Primary |
Addresses
Primary practice location
130 Amity Road
New Haven, CT 06515-0651
Mailing address
130 Amity Rd
New Haven, CT 06515-1405
Phone (203) 397-3878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1711 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W. Joel LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1881115657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 AMITY RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151405",
"telephone_number": "203-397-3878",
"fax_number": "203-397-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 AMITY ROAD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065150651",
"telephone_number": "203-397-3878",
"fax_number": "203-397-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLODNAK",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.