Dr Hollis L Stavn O.D. An Optometry Corporation
NPI 1255618500ActiveOrganization· Optometrist· Santa Rosa, CA
Optometrist in Santa Rosa, California, registered in NPPES in November 2011. The authorized official on file is Hollis Loren Stavn, O.D., Owner.
Overview
| NPI | 1255618500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2011 |
| Last updated in NPPES | Jun 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 6812 TLG | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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