Individual provider Active NPI

Holly Adams Bennett, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1932425402
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2182 Issued in NC
Practice address
4170 Fayetteville Rd
Raleigh, NC 27603-3606
Phone
(919) 772-2020
Fax
(919) 772-8818
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2182 NC Primary

Addresses

Primary practice location

4170 Fayetteville Rd
Raleigh, NC 27603-3606

Mailing address

4170 Fayetteville Rd
Raleigh, NC 27603-3606
Phone (919) 772-2020

Other names 1

  • Dr. Holly Suzanne Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100608000489 NC Practitioner - Optometry 9739219312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

119 E Hargett St
Raleigh, NC 27601-1579
Phone (919) 856-8555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2182NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendell Eye Care Optometric PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Apr 8, 2010 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Apr 8, 2010 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

4170 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 772-2020

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

18 S Main St
Wendell, NC 27591
Phone (919) 366-6599

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

3401 Raleigh Road Pkwy W
#B
Wilson, NC 27896
Phone (252) 291-0767

Interoperability endpoints

  • Direct secure messaging: hbennett@direct.eyecare-partners.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1932425402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033606",
            "telephone_number": "919-772-2020",
            "fax_number": "919-772-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033606",
            "telephone_number": "919-772-2020",
            "fax_number": "919-772-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HOLLY",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "ADAMS",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.