Active NPI
Antonin Hollop, OD
- Optometrist
- Burlington, VT
National Provider Identifier
1891145512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030.0121226
- Practice address
- 11 N Willard St
Burlington, VT 05401-3495 - Phone
- (802) 862-3223
- NPI assigned
- Jun 14, 2016
- Last updated
- Nov 13, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030.0121226 | VT | Primary |
Addresses
Primary practice location
11 N Willard St
Burlington, VT 05401-3495
Mailing address
11 N Willard St
Burlington, VT 05401-3495
Other practice location 1
15 E State St
Montpelier, VT 05602-3086
Phone (802) 223-7723
Other names 1
- Tony Hollop
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Eye and Vision PLLC | Optometrist | Current | Accepting new patients |
Locations
150 Dorset St
Ste 250
South Burlington, VT 05403
Phone (802) 497-0338
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Burlington, VT
- NPI 1215539226
-
- Optometrist
- South Burlington, VT
- NPI 1184292997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1891145512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 N WILLARD ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N WILLARD ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013495",
"telephone_number": "802-862-3223"
}
],
"practiceLocations": [
{
"address_1": "15 E State St",
"address_purpose": "LOCATION",
"city": "Montpelier",
"state": "VT",
"postal_code": "056023086",
"country_code": "US",
"telephone_number": "802-223-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLOP",
"first_name": "ANTONIN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030.0121226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "HOLLOP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.