Forrest Holz

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5458 Issued in FL

Practice address

9398 Arlington Expy
Jacksonville, FL 32225-8213

Phone

(904) 725-5590

NPI assigned

Jul 19, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southeastern Hearing Inc.

  • Hearing Instrument Specialist
  • Jacksonville, FL
  • NPI 1912042136
  NPD
• Southeastern Hearing, Inc

  • Hearing Aid Equipment
  • Jacksonville Beach, FL
  • NPI 1902345085
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356994289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-247-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258213",
            "telephone_number": "904-725-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZ",
        "first_name": "FORREST",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.clearearjax.com",
            "affiliation": "Y",
            "affiliationName": "Southeastern Hearing Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9398 Arlington Expy",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322258213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Holton
• Bryan C Holtz
• Adam Lewis Holtzman, M.D.
• Samantha Holtzman, PA-C
• Holy Trinity Community Medical Center
• Sheronda Nicole Holzendorf, TCM
• Siavash Homayouni, DDS
• Home & Hotel Design Inc
• Home Ability Store, LLC
• Home Angels Care, LLC

• Hearing Instrument Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.