Robert Lee Holly, OD - Medicare Optometrist in Cheyenne, WY

Robert Lee Holly, OD is a medicare enrolled "Optometrist" provider in Cheyenne, Wyoming. His current practice location is 1854 Dell Range Blvd, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 638-6610.

Robert Lee Holly is licensed to practice in Wyoming (license number 162T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689768699.

Contact Information

Robert Lee Holly, OD
1854 Dell Range Blvd,
Cheyenne, WY 82009-4949
(307) 638-6610
Not Available



Healthcare Provider's Profile

Full NameRobert Lee Holly
GenderMale
SpecialityOptometrist
Location1854 Dell Range Blvd, Cheyenne, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689768699
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 01/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426044686
  • Enrollment ID: I20050110000263

Medical Identifiers

Medical identifiers for Robert Lee Holly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689768699NPI-NPPES
106911000MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 162T (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Lee Holly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert Lee Holly, OD
1854 Dell Range Blvd,
Cheyenne, WY 82009-4949

Ph: (307) 638-6610
Robert Lee Holly, OD
1854 Dell Range Blvd,
Cheyenne, WY 82009-4949

Ph: (307) 638-6610

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› Verified 4 days ago


Optometrist in Cheyenne, WY

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