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

Dr. Kenny Holloway, OD

Individual provider Optometrist · NPI 1912990714

Dr. Kenny Holloway, OD is an Optometry in Jasper, Georgia. Qualified in 2005, 21 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2005
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

105 N Main St Ste 1
Jasper, GA 30143-1557
Phone: (706) 692-5633
Fax: (706) 692-0027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 S River St, Calhoun, GA 30701-2138 — (706) 629-4578

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT002252 (GA)

Record details

NPI number1912990714
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 26, 2005
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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