Individual provider Active NPI

Sherrie Elizabeth Holman, O.D.

  • Optometrist
  • Athens, TN
National Provider Identifier
1174504179
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1361 Issued in TN
Practice address
1450 Decatur Pike
Athens, TN 37303-2470
Phone
(423) 744-3938
Fax
(423) 745-6565
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1361 TN Primary

Addresses

Primary practice location

1450 Decatur Pike
Athens, TN 37303-2470

Mailing address

1450 Decatur Pike
Athens, TN 37303-2470
Phone (423) 744-3938

Other identifiers 1

IdentifierTypeStateIssuer
4086615OtherTNBCBS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001756 TN Practitioner - Optometry 4082606256 Practice locations: Athens, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1450 Decatur Pike
Athens, TN 37303-2470
Phone (423) 744-3938

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1361TNMDOptometrist
1361TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrie E Holman Optometrist CurrentSince Mar 4, 2004 Accepting new patients

Locations

1450 Decatur Pike
Athens, TN 37303
Phone (423) 744-3938

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174504179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032470",
            "telephone_number": "423-744-3938",
            "fax_number": "423-745-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032470",
            "telephone_number": "423-744-3938",
            "fax_number": "423-745-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "SHERRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "4086615",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.