HOLDENVILLE EYE CENTER PLLC – Optometrist, NPI 1558734970

HOLDENVILLE EYE CENTER PLLC is a healthcare provider. based in Holdenville, Oklahoma. specializing in Optometrist. The NPI Number for HOLDENVILLE EYE CENTER PLLC is 1558734970

Main info

Organization
Name
HOLDENVILLE EYE CENTER PLLC
NPI
1558734970
Phone
(405) 379-3700
Address
720 N HINCKLEY ST
Authorized Official
GARY J LAVALLEY OWNER OD
Enumeration Date
6 November 2015
Last Update Date
19 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for HOLDENVILLE EYE CENTER PLLC

  • 720 N HINCKLEY ST

    HOLDENVILLE, OK 748483841

    Phone: (405) 379-3700

    Fax: (405) 379-3712

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (832 days ago).

Enrollment records

2

Earliest due date

2024-02-29

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
O20160323002362OClinic/Group PracticeOK2024-02-29
O20240529000925OPhysician - OptometristOKTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 74848)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is HOLDENVILLE EYE CENTER PLLC identified in CMS data?
CMS-hosted NPPES data lists HOLDENVILLE EYE CENTER PLLC with NPI 1558734970.
Is HOLDENVILLE EYE CENTER PLLC still practicing?
HOLDENVILLE EYE CENTER PLLC is currently listed as active in the public NPI registry.
What taxonomy line describes HOLDENVILLE EYE CENTER PLLC?
For research purposes, treat HOLDENVILLE EYE CENTER PLLC as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect HOLDENVILLE EYE CENTER PLLC on a map?
Expect Holdenville, Oklahoma as a primary anchor for HOLDENVILLE EYE CENTER PLLC unless the record lists multiple sites.
Why does HOLDENVILLE EYE CENTER PLLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

PO BOX 897
NPI: 1942200969
121, West Main Street, Holdenville, Hughes County, Oklahoma, 74848, United States
NPI: 1013173715
PO BOX 897
NPI: 1639329071