DR. HOLLY ANN HICKERSON OD
NPI 1407387814
Optometrist in Los Angeles, CA
About Dr. Holly Ann Hickerson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HOLLY ANN HICKERSON OD (NPI 1407387814) is an individual optometrist in Los Angeles, California, licensed in California (OPT33909TLG) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses 2
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. Holly Ann Hickerson Od 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90073
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 Hickerson's NPI number?
The NPI number for Holly Hickerson is 1407387814. It was assigned to this individual provider in the NPPES registry on March 27, 2017.
Where is Holly Hickerson located?
Holly Hickerson practices at 11301 Wilshire Blvd West La VA Health Care Center, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Holly Hickerson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Holly Hickerson enrolled in Medicare?
Yes. Holly Hickerson 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.
When was this NPI record last updated?
The NPPES record for Holly Hickerson was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Holly Ann Hickerson, OD · NPI 1407387814
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 27, 2017.
## Identity
- **NPI:** 1407387814 (Entity type: Individual)
- **Enumerated:** March 27, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT33909TLG (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11301 WILSHIRE BLVD, WEST LA VA HEALTH CARE CENTER, Los Angeles, CA 90073
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Pennsylvania College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** October 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407387814) · Data from the CMS NPPES public registry.