Active NPI
David Justin Holdgrafer, O.D.
- Optometrist
- Soldotna, AK
National Provider Identifier
1124572805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 113618
- Practice address
- 170 E Corral Ave Ste 1
Soldotna, AK 99669-7548 - Phone
- (907) 262-3168
- Fax
- (888) 220-2134
- NPI assigned
- Aug 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 113618 | AK | 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
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
170 E Corral Ave
Suite 1
Soldotna, AK 99669-7548
Phone (907) 262-3168
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.08 of 100
- Quality
- 68.17
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soldotna Optometry Clinic, LLC | Optometrist | Current | Accepting new patients |
| DH Optometric Solutions Inc | Optometrist | Current | Accepting new patients |
Locations
155 Smith Way
Ste 202
Soldotna, AK 99669
Phone (907) 262-3168
170 E Corral Ave
Ste 1
Soldotna, AK 99669
Phone (907) 262-3119
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Soldotna, AK
- NPI 1114559317
-
- Optometrist
- Soldotna, AK
- NPI 1942221221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1124572805",
"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": {
"last_name": "HOLDGRAFER",
"first_name": "DAVID",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AK",
"license": "113618",
"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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.