Organization Active NPI

Holden Optical Inc.

  • Hearing Aid Equipment
  • Modesto, CA
National Provider Identifier
1073585410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
207 Issued in CA
Legal business name
HOLDEN OPTICAL INC.
Doing business as
Holdlen Hearing Aid Service
Practice address
1150 W Orangeburg Ave
Modesto, CA 95350-4042
Phone
(209) 526-9883
Fax
(209) 526-8681
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary R Baker, H.A. DISPENSER
Title
President
Phone
(209) 526-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 207 CA Primary

Addresses

Primary practice location

1150 W Orangeburg Ave
Modesto, CA 95350-4042

Mailing address

1150 W Orangeburg Ave
Modesto, CA 95350-4042
Phone (209) 526-9883

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ71978ZMedicaidCA

Other names 1

  • Holdlen Hearing Aid Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073585410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504042",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504042",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-526-9883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.A. DISPENSER"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71978Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holdlen Hearing Aid Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.