Individual provider Active NPI

Virgil Don Holland Jr., O.D.

  • Optometrist
  • Irvine, CA
National Provider Identifier
1942361225
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10333T Issued in CA
Practice address
14210 Culver Dr
Suite F
Irvine, CA 92604-0328
Phone
(949) 857-1060
Fax
(949) 857-2100
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10333T CA Primary

Addresses

Primary practice location

14210 Culver Dr
Suite F
Irvine, CA 92604-0328

Mailing address

14210 Culver Dr
Suite F
Irvine, CA 92604-0328
Phone (949) 857-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080319000447 CA Practitioner - Optometry 1254417074 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10333TCAMDOptometrist
10333CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Optometry a Professional Corporation Optometrist PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1942361225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 CULVER DR",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040328",
            "telephone_number": "949-857-1060",
            "fax_number": "949-857-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 CULVER DR",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040328",
            "telephone_number": "949-857-1060",
            "fax_number": "949-857-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "VIRGIL",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10333T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.