Active NPI
William M Holman, OD
- Optometrist
- Winfield, KS
National Provider Identifier
1073526273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS1376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100219810B | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1376 | KS | MD | Registered Dietitian |
| KS1376 | KS | MD | Optometrist |
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.