DR. JILL PAULY HOLLER (O.D.) – Low Vision Rehabilitation Optometrist, NPI 1437295508
Low Vision Rehabilitation Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. JILL PAULY HOLLER (O.D.)
Target, 5225, Monroe Street, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 436233139
Phone: (419) 843-3042
Fax: (419) 843-2432
Type: Location
5915, Bear Creek Drive, Woodstream West, Sylvania, Lucas County, Ohio, 43560, United States
SYLVANIA, OH 435609543
Phone: (419) 882-6531
Fax: (419) 882-6531
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: CooperVision Inc. ($107).
Total Amount
$202
General + Research + Ownership
Payments
7
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $107 |
| Bausch & Lomb Americas Inc. | $96 |
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: 2004-11-09
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 |
|---|---|---|---|---|
| I20041109000927 | I | Optometry | OH | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 52 | 52 | $0 |
| 92014 | Established patient complete exam of visual system | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 43623)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | NC | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
Reviews
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