Individual
DR. EDWARD J HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 S LOOP RD, SUITE 200, EDGEWOOD, KY 41017-3415
(513) 569-3741
(513) 569-3941
Mailing address
580 S LOOP RD, SUITE 200, EDGEWOOD, KY 41017-3415
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35077410
OH
207W00000X
Ophthalmology Physician
Primary
35605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075280
BCBS
—
05
—
01484326
—
NY
01
—
180038905
RAILROAD MEDICARE
OH
01
—
180038906
RAILROAD MEDICARE
KY
05
—
200259180
—
IN
05
—
2152316
—
OH
05
—
3810009070
—
WV
05
—
4046569
—
TN
05
—
64004476
—
KY
05
—
81958100
—
WI
Enumeration date
06/14/2006
Last updated
07/06/2011
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