Provider Demographics
NPI:1578533410
Name:HOLLMANN, JAMES D (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:HOLLMANN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 207163
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7154
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:1025 COLUMBIA CTR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-2546
Practice Address - Country:US
Practice Address - Phone:618-281-8611
Practice Address - Fax:618-281-3927
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011465152W00000X
MOTO3353152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000091096OtherMEDICARE DMEPOS
MO371265227OtherNUCROWN, INC. D/B/A CROWN OPTICAL
MO22-00861OtherUNITED HEALTHCARE
MO151258OtherBCBS OF MISSOURI
MO410038036OtherRAILROAD MEDICARE
MO410038036Medicare PIN
MO371265227OtherNUCROWN, INC. D/B/A CROWN OPTICAL
MOU69016Medicare UPIN