Individual provider Active NPI

William M Holman, OD

  • Optometrist
  • Winfield, KS
National Provider Identifier
1073526273
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1376 Issued in KS
Practice address
3000 E 9TH
Ste B
Winfield, KS 67156
Phone
(620) 221-2015
Fax
(620) 221-2466
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS1376 KS Primary

Addresses

Primary practice location

3000 E 9TH
Ste B
Winfield, KS 67156

Mailing address

3000 E 9TH
Winfield Family Optometry
Winfield, KS 67156-3441
Phone (620) 221-2015

Other identifiers 1

IdentifierTypeStateIssuer
100219810BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1376KSMDRegistered Dietitian
KS1376KSMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1073526273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E 9TH",
            "address_2": "WINFIELD FAMILY OPTOMETRY",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563441",
            "telephone_number": "620-221-2015",
            "fax_number": "620-221-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E 9TH",
            "address_2": "STE B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67156",
            "telephone_number": "620-221-2015",
            "fax_number": "620-221-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219810B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.