Mark G Holmes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02070 Issued in IA

Practice address

6200 Westown Pkwy
West Des Moines, IA 50266-7705

Phone

(515) 327-6100

Fax

(515) 223-5468

NPI assigned

Aug 17, 2005

Last updated

May 12, 2015By 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

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mholmes@wolfe.intellechartdirect.net

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.

• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174
  Medicare reassignment Care Compare group NPD
• Optometric Associates of Warren County PC

  • Optometrist
  • Carlisle, IA
  • NPI 1053362863
  NPD (past)
• Optometric Associates of Warren County PC

  • Optometrist
  • Indianola, IA
  • NPI 1144271958
  NPD (past)
• Optometric Associates of Warren County PC

  • Optometrist
  • Norwalk, IA
  • NPI 1962453779
  NPD (past)
• Pamela J Young, OD PLC

  • Optometrist
  • Norwalk, IA
  • NPI 1649365743
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1306838115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6262",
            "fax_number": "641-752-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667705",
            "telephone_number": "515-327-6100",
            "fax_number": "515-223-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Holeman
• Holistic Apogee Systems LLC.
• Zachary Adam Rutherford Hollingsworth, PA-C
• Holly a Conlee LMHC PLLC (A Clear Mind Counseling)
• Alisa Holmbeck, OTD, OTR/L
• Mary Holmes, MASTER'S
• Holst Olberding Family Dentistry, P.C.
• Lisa Kim Holst, D.D.S.
• Taylor Holtmeyer, OTD, OTR/L
• Home Harmony ABA Ia LLC

• Optometrist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.