DR. HOLLIS LOREN STAVN O.D.
NPI 1194728527
Optometrist in Santa Rosa, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
2305 MENDOCINO AVE, STE B, SANTA ROSA, CA 95403(707) 527-9137(707) 545-9278 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Hollis Loren Stavn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLIS LOREN STAVN O.D. (NPI 1194728527) is an individual optometrist in Santa Rosa, California, licensed in California (6812T) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1194728527
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. HOLLIS LOREN STAVNCredential: O.D.
Location Address2305 MENDOCINO AVE, STE BSanta Rosa, CA 95403-3157
Mailing Address2305 Mendocino Ave, Ste BSanta Rosa, CA 95403-3157 · (707) 527-9137 · Fax (707) 545-9278
Fax(707) 545-9278
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateMay 31, 2005
Last NPPES UpdateDecember 20, 2012
NPI 1194728527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 6812T
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2305 MENDOCINO AVE, Santa Rosa, CA 95403

Other Identifiers 6

Medicare UPINT10418CA
MedicaidSD0068121CA
Other45719CA · Sageguard
Medicare NSC0210520001CA
Other680313523CA · Ein-blue Shield
Medicare PINFO702ZCA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hollis Loren Stavn O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597873844
PECOS Enrollment IDI20111122000250
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
97 services96 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
27 services25 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2305 MENDOCINO AVE, SUITE B
SANTA ROSA, CA 95403
Optometrist
2305 MENDOCINO AVE, STE B
SANTA ROSA, CA 95403
Occupational Therapist (Hand)
2305 MENDOCINO AVE, SUITE B
SANTA ROSA, CA 95403
Dentist (Periodontics)
2305 MENDOCINO AVE
SANTA ROSA, CA 95403
Dentist (General Practice)
2305 MENDOCINO AVE
SANTA ROSA, CA 95403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hollis Stavn's NPI number?

The NPI number for Hollis Stavn is 1194728527. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Hollis Stavn located?

Hollis Stavn practices at 2305 Mendocino Ave Ste B, Santa Rosa, CA 95403. The listed phone number is (707) 527-9137.

What is Hollis Stavn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Hollis Stavn enrolled in Medicare?

Yes. Hollis Stavn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hollis Stavn accept?

Health plans from Providence Health Plan list Hollis Stavn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hollis Stavn was last updated on December 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.