Marilyn Holm

Primary specialty

OptometristTaxonomy code 152W00000X

License

1550 Issued in KS

Legal business name

MARILYN HOLM

Doing business as

Holm Vision

Practice address

1320 S Countrywood Dr
Wasilla, AK 99623-9228

Phone

(316) 209-0142

NPI assigned

Mar 31, 2006

Last updated

Jan 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn Kay Holm, O.D.NPI 1104811488

Title

Owner

Phone

(316) 209-0142

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Holm Vision Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn Kay Holm, O.D.

  • Optometrist
  • Port Angeles, WA
  • NPI 1104811488
  NPD (past) Authorized official

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1376504035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S COUNTRYWOOD DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239228",
            "telephone_number": "316-209-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S COUNTRYWOOD DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239228",
            "telephone_number": "316-209-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN HOLM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-209-0142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "13089",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100346290D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2062367",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "39850",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holm Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Marchegiani, DO
• Nicole Marden
• Michael Lee Mardres
• Nathalia Marhenke
• Maria L Freeman (Family Medicine of Alaska)
• Stephen D Markewich, MD
• Elaine Marquez-Haggerty
• Baylee Marquis, LMT
• Piper Jessica Marsh, PHARMD
• William Tyran Marsh

• Optometrist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.