Individual provider Active NPI

Antonin Hollop, OD

  • Optometrist
  • Burlington, VT
National Provider Identifier
1891145512
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0121226 Issued in VT
Practice address
11 N Willard St
Burlington, VT 05401-3495
Phone
(802) 862-3223
NPI assigned
Jun 14, 2016
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew patients
Champlain Eye and Vision PLLC Optometrist CurrentSince Jun 1, 2021 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.

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.

Verify at the official NPI Registry.