Clifford L. Holt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS12613 Issued in KS

Legal business name

CLIFFORD L. HOLT, O.D.

Practice address

6435 Nieman Rd
Shawnee, KS 66203-3325

Phone

(913) 631-6959

Fax

(931) 631-5930

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Julie S Holt

Title

Office Manager

Phone

(913) 631-6959

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Clifford L Holt, O.D.

  • Optometrist
  • Shawnee, KS
  • NPI 1144264235
  NPD (past)
• Brandon Karl Hunter, O.D.

  • Optometrist
  • Leawood, KS
  • NPI 1306917810
  NPD (past)
• Chad E. Renner, O.D.

  • Optometrist
  • Olathe, KS
  • NPI 1841351426
  NPD (past)
• Sandra Vu

  • Optometrist
  • Shawnee, KS
  • NPI 1861981599
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1154591337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033325",
            "telephone_number": "913-631-6959",
            "fax_number": "931-631-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033325",
            "telephone_number": "913-631-6959",
            "fax_number": "931-631-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD L. HOLT, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-631-6959"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS12613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218370A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Corbin Clark, LMSW
• Tina M Clark, LSCSW
• Tracy A Clark, ARNP
• Tucker Clark
• Barbara Gaye Cleverdon, LCMFT
• Clifford L. Holt, O.D.,P.a.
• Perry L Cobb, RPH
• Karinne Coberly
• Kristina D Cockerill
• Seth Cohen, DDS

• Optometrist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.