Jack L. Hollins, M.D., P.S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17380 Issued in KY

Legal business name

JACK L. HOLLINS, M.D., P.S.C.

Practice address

2353 Alexandria Dr
Suite 210
Lexington, KY 40504-3287

Phone

(859) 264-7700

Fax

(859) 264-7744

NPI assigned

Sep 28, 2006

Last updated

Mar 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Lynn Hollins, M.D.

Title

Owner

Phone

(859) 264-7700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1881785111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043287",
            "telephone_number": "859-264-7700",
            "fax_number": "859-264-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043287",
            "telephone_number": "859-264-7700",
            "fax_number": "859-264-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK L. HOLLINS, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-264-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "17380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000000048591",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "180036565",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.