THE EYE PLACE
NPI 1417589664
Optometrist in Jasper, GA

Q: What is Kenny Holloway Od PC's NPI number?

The NPI number for Kenny Holloway Od PC is 1417589664. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as The Eye Place.

Q: What is Kenny Holloway Od PC's specialty?

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

Active since February 05, 2020

105 N MAIN ST STE 100, JASPER, GA 30143(678) 315-9446 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2023, Feb 5, 2020 (2 updates tracked since 2020).

On this page

About The Eye Place NPPES

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

THE EYE PLACE (NPI 1417589664) is a healthcare organization registered as an optometrist in Jasper, Georgia and active in the NPI registry since February 2020. The organization maintains a secondary practice location in Calhoun and lists Kenny Holloway, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417589664

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKENNY HOLLOWAY OD PC

Location Address105 N MAIN ST STE 100Jasper, GA 30143-1557

Mailing Address105 N Main St Ste 100Jasper, GA 30143-1557 · (678) 315-9446

Phone(678) 315-9446

Organization SubpartNo

Authorized OfficialKenny HollowayCeo · (706) 692-5633

Enumeration DateFebruary 5, 2020

Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration

NPPES CertifiedApril 12, 2021

✔ NPI 1417589664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

105 N MAIN ST STE 100, Jasper, GA 30143

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Other Names 1

Doing Business AsThe Eye Place

Secondary Practice Location 1

Location 1101 S River StCalhoun, GA 30701-2138 · Phone (706) 629-4578 · Fax (706) 629-0837

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Eye Place is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Eye Place, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenny Holloway, O.D.

Optometry

NPI 1912990714

105 N MAIN ST STE 1
Jasper, GA 30143

(706) 692-5633

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenny Holloway Od PC's NPI number?

The NPI number for Kenny Holloway Od PC is 1417589664. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as The Eye Place.

Where is Kenny Holloway Od PC located?

Kenny Holloway Od PC is located at 105 N Main St Ste 100, Jasper, GA 30143. The listed phone number is (678) 315-9446.

What is Kenny Holloway Od PC's specialty?

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

Is Kenny Holloway Od PC enrolled in Medicare?

Yes. Kenny Holloway Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenny Holloway Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kenny Holloway Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kenny Holloway Od PC accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Health list Kenny Holloway Od PC 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 Kenny Holloway Od PC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.