P Praxis·MD
● Active Type 2 · Organization

Kenny Holloway OD Pc

Optometrist·Jasper, GA· NPI 1417589664 · Enumerated 2020 · 6 years on NPI
Kenny Holloway OD Pc is 1 of 2375 optometrist organizations in Georgia.
NPI age
6 years
Enumerated 2020-02-05
Primary specialty
Optometrist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Holloway
Ceo
Last NPPES update
2023-01-19
Source: monthly bulk 2026-05

How this organization compares

Across 2375 active optometrist providers in Georgia.

NPI age
6 years
↓ 10 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
105 N Main St Ste 100
Jasper, GA 301431557
📞 6783159446
Mailing address
105 N Main St Ste 100
Jasper, GA 301431557
📞 6783159446

Additional practice locations

1 secondary location on file with NPPES.

Location 2
101 S River St
Calhoun, GA 307012138
📞 7066294578fax 7066290837

Authorized official

Kenny Holloway, OD
Ceo
📞 7066925633

Specialties

  • Optometrist Primary
    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...
    taxonomy 152W00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • The Eye Place
    Type code 3 recorded 2023-01-19
  • The Eye Place
    Type code 3 recorded 2021-04-12

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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