Organization Active NPI

DH Optometric Solutions Inc

  • Optometrist
  • Soldotna, AK
National Provider Identifier
1114559317
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DH OPTOMETRIC SOLUTIONS INC
Practice address
170 E Corral Ave Ste 1
Soldotna, AK 99669-7548
Phone
(907) 262-3168
Fax
(888) 220-2134
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
David Justin Holdgrafer, O.D.NPI 1124572805
Title
Optometrist
Phone
(317) 506-7839

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 Primary

Addresses

Primary practice location

170 E Corral Ave Ste 1
Soldotna, AK 99669-7548

Mailing address

170 E Corral Ave Ste 1
Soldotna, AK 99669-7548
Phone (907) 262-3168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408001774 AK Part B Supplier - Clinic/Group Practice 8820427123 Receives reassigned benefits from 1 practitioner
Practice locations: Soldotna, AK

National Provider Directory

National Provider Directory

Locations

170 E Corral Ave
Ste 1
Soldotna, AK 99669
Phone (907) 262-3119

155 Smith Way
Ste 202
Soldotna, AK 99669
Phone (907) 262-3168

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": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1114559317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E CORRAL AVE STE 1",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697548",
            "telephone_number": "907-262-3168",
            "fax_number": "888-220-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E CORRAL AVE STE 1",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697548",
            "telephone_number": "907-262-3168",
            "fax_number": "888-220-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DH OPTOMETRIC SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "HOLDGRAFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "317-506-7839",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.