Individual provider Active NPI

Michelle S Holmes, O.D.

  • Optometrist
  • Guntersville, AL
National Provider Identifier
1306954458
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S814-TA202 Issued in AL
Practice address
1521 Gunter Ave
Guntersville, AL 35976-1847
Phone
(256) 582-3146
Fax
(256) 582-4851
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S814-TA202 AL Primary

Addresses

Primary practice location

1521 Gunter Ave
Guntersville, AL 35976-1847

Mailing address

PO Box 999
Guntersville, AL 35976-0999
Phone (256) 582-3146

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
I20120206000799 AL Practitioner - Optometry 1355458670 Practice locations: Guntersville, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1327 Gunter Ave
Guntersville, AL 35976-1843
Phone (256) 582-3146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S814-TA202ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Eyecare & Vision Services, LLC Optometrist Past Accepting new patients

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1306954458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359760999",
            "telephone_number": "256-582-3146",
            "fax_number": "256-582-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761847",
            "telephone_number": "256-582-3146",
            "fax_number": "256-582-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S814-TA202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.