CAMERON HOLICKI (DO) – Ophthalmology Physician, NPI 1205464229

CAMERON HOLICKI (DO) is a healthcare provider. based in Angola, Indiana. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. 5101027809 (MI). The NPI Number for CAMERON HOLICKI (DO) is 1205464229

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON HOLICKI (DO)
NPI
1205464229
Phone
(260) 665-5015
Address
1202 N WAYNE ST
Enumeration Date
27 March 2020
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5172797927
Graduation Year
2024 (2 years ago)
PAC ID
4284063546
Group Practice PAC ID
3476533324
Professional Enrollment ID
I20240918002492
Address ID
MI490368449CO142XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

328 OPHTHALMOLOGY in IN

Provider Addresses for CAMERON HOLICKI (DO)

  • 1202 N WAYNE ST

    ANGOLA, IN 467032343

    Phone: (260) 665-5015

    Type: Location

  • SYCAMORE PRIMARY CARE CENTER 2115 LEITER ROAD

    MIAMISBURG, OH 45342

    Phone: (937) 384-6800

    Fax: (937) 384-6938

    Type: Mailing

  • 1409 S Lakeview Ave

    Sturgis, MI 490912350

    Phone: (269) 659-4545

    Type: Location

  • 142 E Chicago Rd

    Coldwater, MI 490368449

    Phone: (517) 279-7927

    Type: Location

  • 405 W GRAND AVE

    DAYTON, OH 454057538

    Phone: (937) 384-6800

    Fax: (937) 723-3245

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $374.

Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($195).

Total Amount

$374

General + Research + Ownership

Payments

9

Total payment records

General Amount

$374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240808001441IOphthalmologyINTBD
I20240918002492IOphthalmologyMITBD

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 46703)

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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: 3476533324View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P H T H A L M O L O G YMI
Physician AssistantIN

Reviews

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Frequently asked questions

How is CAMERON HOLICKI (DO) identified in CMS data?
CMS-hosted NPPES data lists CAMERON HOLICKI (DO) with NPI 1205464229.
Does the file indicate CAMERON HOLICKI (DO) is practicing under active NPI?
Directory data currently reports CAMERON HOLICKI (DO) as active.
What is CAMERON HOLICKI (DO) best known for clinically?
Directory data describes CAMERON HOLICKI (DO) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does CAMERON HOLICKI (DO) list a practice location?
Patients near Angola, Indiana may find CAMERON HOLICKI (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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