DR. KAILEY HOLZMAN (OD) – Optometrist, NPI 1598656365

DR. KAILEY HOLZMAN (OD) is a healthcare provider. based in Overland park, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI4788 (OR). The NPI Number for DR. KAILEY HOLZMAN (OD) is 1598656365

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAILEY HOLZMAN (OD)
NPI
1598656365
Phone
(877) 674-1211
Address
8500 W 110TH ST STE 260
Enumeration Date
10 July 2025
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2538357433
Graduation Year
2024 (2 years ago)
PAC ID
2264937804
Group Practice PAC ID
0840458667
Professional Enrollment ID
I20250925000336
Address ID
WA980036350FE135XXSTXX400
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

672 OPTOMETRY in OR

Provider Addresses for DR. KAILEY HOLZMAN (OD)

  • 8500 W 110TH ST STE 260

    OVERLAND PARK, KS 662101892

    Phone: (877) 674-1211

    Type: Mailing

  • 13558 JASON LEE DR

    OREGON CITY, OR 970452840

    Phone: (630) 383-8278

    Type: Location

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: 2025-10-02

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
I20250925000336IOptometryWATBD
I20251002003543IOptometryORTBD

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 66210)

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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: 0840458667View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YNV
O P T O M E T R YFL
-NE
O P T O M E T R YIA
O P T O M E T R YWA
-WA
O P T O M E T R YWA
O P T O M E T R YNE

Reviews

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Frequently asked questions

Is there an official ID for DR. KAILEY HOLZMAN (OD) in U.S. healthcare records?
The official identifier for DR. KAILEY HOLZMAN (OD) is NPI 1598656365.
Would DR. KAILEY HOLZMAN (OD) appear as active to a payer?
You can treat DR. KAILEY HOLZMAN (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. KAILEY HOLZMAN (OD)'s focus?
For DR. KAILEY HOLZMAN (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KAILEY HOLZMAN (OD)?
Travel planning: use Overland Park, Kansas as the reference point for DR. KAILEY HOLZMAN (OD), then confirm.
When was this NPI issued?
Enumeration for DR. KAILEY HOLZMAN (OD) is noted as July 10, 2025 where the registry provides it.

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