DR. HOLLY WALL (NPI# 1518146356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518146356 |
| Entity Type | Individual |
| Full Name | DR. HOLLY WALL |
| Credential | O.D. |
| Practice Address |
750 E Beltline Ave Ne Grand Rapids MI 49525-6049 |
| Mailing Address |
3667 Running Brook Dr Se Kentwood MI 49512-9360 |
| Practice Telephone | 6169492600 |
| Mailing Telephone | 9898241785 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2015-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004603 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229624 | Holly Casey Wall | Surgery | 8600 Fern Ave, Shreveport, LA 71105-5639 | 2005-10-18 |
| 1730638735 | Holly Wall | Speech-Language Pathologist | 82 Monrovia Ave, Smyrna, DE 19977-1530 | 2016-10-02 |
| 1942513684 | Holly M Wall | Nurse Practitioner | 705 White Horse Rd, Suite D-105, Voorhees, NJ 08043-2468 | 2010-07-23 |
| Street Address |
750 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526479 | Rachel Gates Hollenbeck | Optometrist | 750 E Beltline Ave Ne, Ste 202, Grand Rapids, MI 49525-6049 | 2005-05-31 |
| 1124653209 | Blue Sky Vision Optical, LLC | Eyewear Supplier (Equipment, not the service) | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2020-03-09 |
| 1356728778 | Ashley Anne Hui | Optometrist | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2015-05-05 |
| 1821405549 | Andrew Michael Wilke | Optometrist | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2014-07-15 |
| 1811313448 | Debra Lynn Degraff | Nurse Practitioner | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2014-03-06 |
| 1275861031 | Angela J Huizenga | Optometrist | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2009-12-05 |
| 1346573987 | Lindsay Marie-basler Weatherhead | Optometrist | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2009-09-15 |
| 1194927335 | Marcus Salim Muallem | Ophthalmology | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2007-06-01 |
| 1629109343 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2007-03-07 |
| 1528197837 | Sonia Kalia | Optometrist | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2007-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
| 1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
| 1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
| 1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
| 1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
| 1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
| 1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
| 1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
| 1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. HOLLY WALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.