David Ross Holliday, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

707 OD Issued in WV

Practice address

1928 Harper Rd
Beckley, WV 25801-2612

Phone

(304) 252-1299

Fax

(304) 253-4079

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beckley Vision Center, PLLC

  • Optometrist
  • Beckley, WV
  • NPI 1740323625
  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1881647113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "DAVID",
        "middle_name": "ROSS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "707 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002005000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Holbrook
• Terry Joe Holbrook
• Amber Holcomb, O.T.A.
• Catherine Holdren
• Ingrid Holley
• Mark Edward Holliday, OD
• Parthenia J Holly, CRNA, DMPNA
• Courtney Holmes
• Daniel Joseph Holovic, O.D.
• Krystal Mae Holt, PRSS 20.906

• Optometrist in Beckley, WV
• Providers in Beckley, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.