Kenny Holloway Od Pc in Jasper, GA - Medicare Optometrist Provider

Kenny Holloway Od Pc is a medicare enrolled "Optometrist" provider in Jasper, Georgia. Their current practice location is 105 N Main St Ste 100, Jasper, Georgia. You can reach out to their office (for appointments etc.) via phone at (678) 315-9446.

Kenny Holloway Od Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kenny Holloway Od Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417589664.

Contact Information

	Kenny Holloway Od Pc
	105 N Main St Ste 100, Jasper, GA 30143-1557
	(678) 315-9446
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenny Holloway Od Pc
Type	Facility
Speciality	Optometrist
Location	105 N Main St Ste 100, Jasper, Georgia
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417589664
Provider Enumeration Date: 02/05/2020
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8123242831
Enrollment ID: O20210514001342

Medical Identifiers

Medical identifiers for Kenny Holloway Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417589664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kenny Holloway Od Pc acts as a billing entity for following providers:

Provider Name	Kenny B Holloway
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1912990714 PECOS PAC ID: 5496780991 Enrollment ID: I20051004000464

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenny Holloway Od Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenny Holloway Od Pc 105 N Main St Ste 100, Jasper, GA 30143-1557 Ph: (678) 315-9446	Kenny Holloway Od Pc 105 N Main St Ste 100, Jasper, GA 30143-1557 Ph: (678) 315-9446

Reviews and Comments

Optometrist in Jasper, GA

Dr. Lauren Brooke Yancey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Interstate South Dr Ste 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331
Rose A Darby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510
Pickens Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879
Gilbert James Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 Fax: 706-692-7512
Maria Bencsath, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879
Mr. Charles Isaac Newcomer, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 150 Interstate South Drive Suite 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331

Kenny Holloway Od Pc - Medicare Optometrist in Jasper, GA