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DR. HOLLY LEE HANBAUM OD
NPI 1225009913
Optometrist in Newark, OH

Active since January 30, 2006
1010 NORTH 21ST ST, NEWARK, OH 43055(740) 366-5050(740) 366-4149 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Holly Lee Hanbaum Od NPPES

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

DR. HOLLY LEE HANBAUM OD (NPI 1225009913) is an individual optometrist in Newark, Ohio, licensed in Ohio (3537T472) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1225009913
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HOLLY LEE HANBAUMCredential: OD
Location Address1010 NORTH 21ST STNewark, OH 43055-2922
Mailing Address1010 North 21st StNewark, OH 43055-2922 · (740) 366-5050 · Fax (740) 366-4149
Phone(740) 366-5050
Fax(740) 366-4149
Sole ProprietorYes
Enumeration DateJanuary 30, 2006
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1225009913 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 OH · 3537T472
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.
1010 NORTH 21ST ST, Newark, OH 43055
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Other Names 1

Former Name (1)Holly Lee Petersilge

Other Identifiers 4

Medicare UPINT48135
Other2267770001OH · Medicare Durable
Medicaid0562850OH
Medicare ID-Type UnspecifiedHA0561341OH

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 Holly Hanbaum's NPI number?

The NPI number for Holly Hanbaum is 1225009913. It was assigned to this individual provider in the NPPES registry on January 30, 2006. The provider is also known as Holly Lee Petersilge.

Where is Holly Hanbaum located?

Holly Hanbaum practices at 1010 North 21st St, Newark, OH 43055. The listed phone number is (740) 366-5050.

What is Holly Hanbaum's specialty?

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

When was this NPI record last updated?

The NPPES record for Holly Hanbaum was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.