Active NPI
Steven R Holt, OD
- Optometrist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1305
- Practice address
- 15341 W Waddell Rd # 106
Surprise, AZ 85379 - Phone
- (623) 932-2020
- Fax
- (623) 932-2668
- NPI assigned
- Jan 11, 2006
- Last updated
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1305 | AZ | Primary |
Addresses
Primary practice location
15341 W Waddell Rd # 106
Surprise, AZ 85379
Mailing address
15341 W Waddell Rd Ste 106
Surprise, AZ 85379-5169
Phone (623) 544-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15557 W Bell Rd
Suite 410
Surprise, AZ 85374-3059
Phone (623) 544-7800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven R Holt OD PLLC | Optometrist | Current | Accepting new patients |
Locations
15341 W Waddell Rd
Ste 106
Surprise, AZ 85379
Phone (623) 544-7800
15557 W Bell Rd
Ste 410
Surprise, AZ 85374
Phone (623) 544-7800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1417936014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15341 W WADDELL RD STE 106",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795169",
"telephone_number": "623-544-7800",
"fax_number": "623-544-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15341 W WADDELL RD # 106",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85379",
"telephone_number": "623-932-2020",
"fax_number": "623-932-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "STEVEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.