NPIMap

Organization Active NPI

Kevin Holiwell O.D.,Aoc

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1083149223
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 11064 TPA Issued in CA
Legal business name
KEVIN HOLIWELL O.D.,AOC
Practice address
4022 Niles St Ste a
Bakersfield, CA 93306-4630
Phone
(661) 872-7380
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Kevin Kieth Holiwell, ODNPI 1265550529
Title
Owner
Phone
(661) 872-7380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 11064 TPA CA Primary

Addresses

Primary practice location

4022 Niles St Ste a
Bakersfield, CA 93306-4630

Mailing address

4022 Niles St Ste a
Bakersfield, CA 93306-4630
Phone (661) 872-7380

National Provider Directory

National Provider Directory

Locations

4022 Niles St
#A
Bakersfield, CA 93306
Phone (661) 872-7380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1083149223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 NILES ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064630",
            "telephone_number": "661-872-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 NILES ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064630",
            "telephone_number": "661-872-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN HOLIWELL O.D.,AOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLIWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "KIETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-872-7380",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11064 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.