HOLLY BRIANNA GOODWIN (OD) – Optometrist, NPI 1215668181

HOLLY BRIANNA GOODWIN (OD) is a healthcare provider. based in Ludington, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005630 (MI). The NPI Number for HOLLY BRIANNA GOODWIN (OD) is 1215668181

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY BRIANNA GOODWIN (OD)
NPI
1215668181
Phone
Not provided
Address
5634 N MEYERS RD
Enumeration Date
22 June 2022
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318434117
Graduation Year
2022 (4 years ago)
PAC ID
9234512229
Group Practice PAC ID
0446228050
Professional Enrollment ID
I20220824002405
Address ID
MI494312377LU409XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for HOLLY BRIANNA GOODWIN (OD)

  • 5634 N MEYERS RD

    LUDINGTON, MI 494319631

    Phone:

    Type: Mailing

  • 409 W LUDINGTON AVE

    LUDINGTON, MI 494312377

    Phone: (231) 843-4117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($95).

Total Amount

$443

General + Research + Ownership

Payments

21

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2022-08-24

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
I20220824002405IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8555$0
92014Established patient complete exam of visual system8383$0
92004New patient complete exam of visual system3939$0
92134Imaging of retina3935$0
92133Imaging of optic nerve3325$0
View full utilization report →

Insurance plans in this area (ZIP 49431)

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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: 0446228050View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for HOLLY BRIANNA GOODWIN (OD)?
HOLLY BRIANNA GOODWIN (OD) — NPI 1215668181 — is the standard way to identify this listing.
Is HOLLY BRIANNA GOODWIN (OD) still practicing?
HOLLY BRIANNA GOODWIN (OD) is currently listed as active in the public NPI registry.
What healthcare role does HOLLY BRIANNA GOODWIN (OD) hold?
Scheduling teams often label HOLLY BRIANNA GOODWIN (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does HOLLY BRIANNA GOODWIN (OD) serve?
HOLLY BRIANNA GOODWIN (OD)'s listing highlights Ludington, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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