John F Holland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD T812 Issued in TN

Practice address

629 Broad St
Elizabethton, TN 37643-2221

Phone

(423) 543-7376

Fax

(423) 543-6604

NPI assigned

Mar 15, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1912976788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BROAD ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432221",
            "telephone_number": "423-543-7376",
            "fax_number": "423-543-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 BROAD ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432221",
            "telephone_number": "423-543-7376",
            "fax_number": "423-543-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD T812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0197330001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594801",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily B. Hill, FNP
• Hillview Medical Investors, Inc.
• Hilton Enterprises Inc
• Cory Hilton, PT
• Harry D Hilton, DPH
• Whitney Deeanne Hollifield, APN
• Mary Grace Hollomon, APN
• Amanda Kay Holly, RN
• Jack L Holly Jr., DDS
• Tammy Holsclaw-Jones OD PLLC, OD

• Optometrist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.