Organization Active NPI

William H. Holmes, Inc.

Doing business as Chesterfield EyeWorks

  • Optometrist
  • Springfield, MO
National Provider Identifier
1386773794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3174 Issued in MO
Legal business name
WILLIAM H. HOLMES, INC.
Doing business as
Chesterfield EyeWorks
Practice address
1650 S Enterprise Ave
Suite # a-100
Springfield, MO 65804-1800
Phone
(417) 889-7788
Fax
(417) 889-7227
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Hunger Holmes, O.D.NPI 1477586360
Title
Optometrist
Phone
(417) 889-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TO3174 MO Primary

Addresses

Primary practice location

1650 S Enterprise Ave
Suite # a-100
Springfield, MO 65804-1800

Mailing address

1650 S Enterprise Ave
Suite # a-100
Springfield, MO 65804-1800
Phone (417) 889-7788

Other identifiers 1

IdentifierTypeStateIssuer
108650OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Chesterfield EyeWorks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000233 MO Part B Supplier - Clinic/Group Practice 3870655657 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

1650 S Enterprise Ave
Ste A100
Springfield, MO 65804
Phone (417) 889-7788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386773794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S ENTERPRISE AVE",
            "address_2": "SUITE # A-100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041800",
            "telephone_number": "417-889-7788",
            "fax_number": "417-889-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S ENTERPRISE AVE",
            "address_2": "SUITE # A-100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041800",
            "telephone_number": "417-889-7788",
            "fax_number": "417-889-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H. HOLMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HUNGER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "417-889-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "108650",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield EyeWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.