Alexandria Paige Holmes, OD
Individual provider Active NPI Optometrist · Republic, MO
NPI 1194237826 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1194237826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2018021504 (MO)
- Practice address
- 612 E Elm St
Republic, MO 65738 - Phone
- (417) 732-5575
- Fax
- (417) 732-4245
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Huntress Visionhealth Associates LLC
Practice addresses (Care Compare)
215 4TH St
Monett, MO 65708-2314
Phone (417) 235-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180705002293 | MO | Practitioner - Optometry | 7113273137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018021504 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntress Visionhealth Associates LLC | Optometrist | Current |
Accepting new patients |
Locations
215 4th St
Monett, MO 65708
Phone (417) 235-2020
612 E Elm St
Republic, MO 65738
Phone (417) 732-5575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2018021504 | MO | Yes |
Addresses
Primary practice location
612 E Elm St
Republic, MO 65738
Mailing address
3660 S Cox Ave Apt 3204
Springfield, MO 65807-6969
Other practice location 1
215 4th St
Monett, MO 65708-2314
Phone (417) 235-2020
Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.