Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Holly Ann Hickerson, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407387814

Dr. Holly Ann Hickerson, OD is an Optometry in Los Angeles, California. Graduated from Pennsylvania College of Optometry in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Pennsylvania College of Optometry
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT33909TLG (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407387814
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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