Individual provider Active NPI

Bryan Truett Holman, O.D.

  • Optometrist
  • Millbrook, AL
National Provider Identifier
1225285083
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B81-TA-793 Issued in AL
Practice address
3331 Highway 14
Millbrook, AL 36054-1838
Phone
(334) 285-4828
Fax
(334) 285-4881
NPI assigned
Aug 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B81-TA-793 AL Primary

Addresses

Primary practice location

3331 Highway 14
Millbrook, AL 36054-1838

Mailing address

PO Box 1251
Millbrook, AL 36054-0028
Phone (334) 285-4828

Other practice location 1

122 W Commerce St
Greenville, AL 36037-2216
Phone (334) 382-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20081208000310 AL Practitioner - Optometry 6901967074 Reassigns benefits to 3 organizations
Practice locations: Greeneville, AL; Millbrook, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holman Optometrics LLCGroup PAC ID 7416086681, 4 clinicians
2020 Vision Associates LLCGroup PAC ID 6002265212, 5 clinicians
Millbrook Eye Care LLCGroup PAC ID 4486806940, 5 clinicians

Practice addresses (Care Compare)

122 W Commerce St
Greenville, AL 36037-2216
Phone (334) 382-3691

2020 Normandie Dr
Montgomery, AL 36111-2716
Phone (334) 286-2020

3331 Hwy 14
Millbrook, AL 36054

3331 Hwy 14
Millbrook, AL 36054-1838
Phone (334) 285-4828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-B81-TA-793ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Vision Associates LLC Optometrist CurrentSince Nov 16, 2023 Accepting new patients
Raoy D Lamb OD Optometrist Past Accepting new patients

Locations

2020 Normandie Dr
Montgomery, AL 36111
Phone (334) 281-5011

Interoperability endpoints

  • Direct secure messaging: bryan.holman@uprisedirect.com

Organizations & group practices 4

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": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1225285083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360540028",
            "telephone_number": "334-285-4828",
            "fax_number": "334-285-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541838",
            "telephone_number": "334-285-4828",
            "fax_number": "334-285-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Commerce St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360372216",
            "country_code": "US",
            "telephone_number": "334-382-3691",
            "fax_number": "334-382-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "BRYAN",
        "middle_name": "TRUETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-24",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B81-TA-793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

Verify at the official NPI Registry.