Robert L Holly (NPI# 1689768699, PAC ID# 8426044686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1689768699 |
| PAC ID by PECOS | 8426044686 |
| Professional Enrollment ID | I20050110000263 |
| Full Name | Robert L Holly |
| Organization Legal Name | EYE CARE CLINIC AND OPTICAL LLC |
| Address |
6228 Yellowstone Rd Cheyenne WY 82009-3432 |
| Phone Number | 3077782771 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456347749 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 E Pershing Blvd, Cheyenne, WY 82001-3230 | 9077213937 | CHEYENNE VISION CLINIC P.C. |
| 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 | 3077782771 | EYE CARE CLINIC AND OPTICAL LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
| Organization Legal Name | EYE CARE CLINIC AND OPTICAL LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Turner Wells | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Joseph M Munsell | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Tiffany Holly Silver | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Street Address |
6228 YELLOWSTONE RD |
| City | CHEYENNE |
| State | WY |
| Zip | 82009-3432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Turner Wells | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Joseph M Munsell | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Tiffany Holly Silver | Optometry | Eye Care Clinic and Optical LLC | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna E Hibbler | Clinical Social Worker | Liv In Home Counseling and Care Management LLC | 1745 Silver Spur Rd, Cheyenne, WY 82009-1206 |
| Nathaniel Mason Beaty | Physician Assistant | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Robin M Duncan | Nurse Practitioner | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Bruce W Weber | Chiropractic | 7124 Commons Dr, Unit D, Cheyenne, WY 82009-2620 | |
| Molly E Means | Physician Assistant | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Brant Christensen | Qualified Audiologist | 7215 Commons Cir, Unit C, Cheyenne, WY 82009-2666 | |
| Robert M Cline | Certified Registered Nurse Anesthetist (crna) | Frontier Anesthesia LLC | 7220 Commons Cir, Cheyenne, WY 82009-2673 |
| Jessica L Wiedman | Certified Registered Nurse Anesthetist (crna) | Frontier Anesthesia LLC | 7220 Commons Cir, Cheyenne, WY 82009-2673 |
| Kenneth S Buran | Gastroenterology | Digestive Health Associates of Cheyenne | 7212 Commons Dr, Cheyenne, WY 82009-2675 |
| Scott V Mcrae | Gastroenterology | Digestive Health Associates of Cheyenne | 7212 Commons Dr, Cheyenne, WY 82009-2675 |
| Find all physicians in zip 82009 | |||
| City | CHEYENNE |
| Zip Code | 82009 |
| Specialty | OPTOMETRY |
| City + Specialty | CHEYENNE + OPTOMETRY |
Please comment or provide details below to improve the information on Robert L Holly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.