Kevin K. Holiwell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11064 TPA Issued in CA

Practice address

4022 Niles St Ste a
Bakersfield, CA 93306-4630

Phone

(661) 872-7380

Fax

(661) 872-7251

NPI assigned

Mar 26, 2007

Last updated

Mar 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin Holiwell O.D.,Aoc

  • Optometrist
  • Bakersfield, CA
  • NPI 1083149223
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1265550529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 NILES ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064630",
            "telephone_number": "661-872-7380",
            "fax_number": "661-872-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 NILES ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064630",
            "telephone_number": "661-872-7380",
            "fax_number": "661-872-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIWELL",
        "first_name": "KEVIN",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11064 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0110640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Randall Hoisington
• Farshid Fred Holakouee
• Ikiyamanda Holford
• Florina T. Holguin
• Sarah Elizabeth Holguin, LCSW 121379
• Rosie Bernice Holiwell, PA-C
• Kelly Holland
• Meghan Holland, LMFT, BCBA
• Ellizion Holliday
• Rosemarie Holliday, O.T.

• Optometrist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.