TREVOR HOLLINSWORTH (OD) – Optometrist, NPI 1154213890

TREVOR HOLLINSWORTH (OD) is a healthcare provider. based in Jeffersonvlle, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004607A (IN). The NPI Number for TREVOR HOLLINSWORTH (OD) is 1154213890

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
TREVOR HOLLINSWORTH (OD)
NPI
1154213890
Phone
(812) 284-0660
Address
302 W 14TH ST STE 100A
Enumeration Date
17 July 2025
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8125906220
Graduation Year
2025 (1 year ago)
PAC ID
3870009129
Group Practice PAC ID
4183688310
Professional Enrollment ID
I20250723000937
Address ID
IN471303748JE1407XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for TREVOR HOLLINSWORTH (OD)

  • 302 W 14TH ST STE 100A

    JEFFERSONVLLE, IN 471303751

    Phone: (812) 284-0660

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250723000937IOptometryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183688310View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P H T H A L M O L O G YKY
O P T O M E T R YKY
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YKY
O P H T H A L M O L O G YIN
O P T O M E T R YKY
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN

Reviews

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Frequently asked questions

Can I use this page to confirm TREVOR HOLLINSWORTH (OD)'s NPI?
Yes. TREVOR HOLLINSWORTH (OD) is listed with NPI 1154213890 in the public NPI dataset.
Does CMS list TREVOR HOLLINSWORTH (OD) as active?
Yes — TREVOR HOLLINSWORTH (OD) is active in the NPI listing used on this page.
What taxonomy line describes TREVOR HOLLINSWORTH (OD)?
For research purposes, treat TREVOR HOLLINSWORTH (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TREVOR HOLLINSWORTH (OD) on a map?
Expect Jeffersonvlle, Indiana as a primary anchor for TREVOR HOLLINSWORTH (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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