Active NPI
Holly Allison Kiker, OD
- Optometrist
- Wadesboro, NC
National Provider Identifier
1992866941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC2029
- Practice address
- 1134 Holly Street
Wadesboro, NC 28170 - Phone
- (704) 694-3618
- Fax
- (704) 694-6446
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- 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 | NC2029 | NC | Primary |
Addresses
Primary practice location
1134 Holly Street
Wadesboro, NC 28170
Mailing address
1134 Holly St
Wadesboro, NC 28170-2452
Phone (704) 694-3618
Other names 1
- Holly Kristen Allison
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1134 Holly St
Wadesboro, NC 28170-2452
Phone (704) 694-3618
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC2029 | NC | MD | Optometrist |
Interoperability endpoints
- hollykiker@direct.revolutionehr.com
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.
-
- Optometrist
- Wadesboro, NC
- NPI 1710111281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1992866941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 HOLLY ST",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702452",
"telephone_number": "704-694-3618",
"fax_number": "704-694-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 HOLLY STREET",
"city": "WADESBORO",
"state": "NC",
"postal_code": "28170",
"telephone_number": "704-694-3618",
"fax_number": "704-694-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKER",
"first_name": "HOLLY",
"middle_name": "ALLISON",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC2029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "ALLISON",
"middle_name": "KRISTEN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wadesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.