DR. SHAUN MATTHEW HOLLIDAY (OD) – Optometrist, NPI 1568138204
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for DR. SHAUN MATTHEW HOLLIDAY (OD)
2000 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 334096504
Phone: (561) 500-2020
Fax: (561) 478-1300
Type: Location
924 S Florida Ave
Lakeland, FL 338031116
Phone: (863) 688-6197
Type: Location
2376 E Irlo Bronson Memorial Hwy
Kissimmee, FL 347445401
Phone: (407) 847-0057
Type: Location
2054 Bloomingdale Ave
Valrico, FL 335966113
Phone: (813) 820-6150
Type: Location
3875 US Highway 301 S Ste 5
Riverview, FL 335783572
Phone: (813) 246-3186
Type: Location
5201 E Busch Blvd
Temple Terrace, FL 336175403
Phone: (813) 979-2929
Type: Location
2225 Sun Vista Dr
Lutz, FL 335596861
Phone: (813) 607-2730
Type: Location
18915 State Road 54 Ste A
Lutz, FL 335585268
Phone: (813) 909-0554
Type: Location
3238 Little Rd
Trinity, FL 346551865
Phone: (727) 236-8797
Type: Location
PO BOX 207151
DALLAS, TX 753207151
Phone: (636) 200-4393
Type: Mailing
407 N PLANT AVE
PLANT CITY, FL 335637247
Phone: (813) 752-1344
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $433.
Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: CooperVision Inc. ($193).
Total Amount
$433
General + Research + Ownership
Payments
11
Total payment records
General Amount
$433
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $193 |
| Bausch & Lomb Americas Inc. | $99 |
| ABBVIE INC. | $85 |
| Alcon Vision LLC | $36 |
| BIOTISSUE HOLDINGS, INC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211203002271 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $0 |
| 92083 | Exam of visual field with extended testing | 20 | 14 | $0 |
| 92133 | Imaging of optic nerve | 15 | 13 | $0 |
| 92020 | Exam of the internal drainage system of eye | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| Nurse Practitioner | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL |
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