Individual provider Active NPI

William Hunger Holmes, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1477586360
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3174 Issued in MO
Practice address
2142 W Chesterfield Blvd
Springfield, MO 65807-8650
Phone
(417) 889-7788
Fax
(417) 889-7227
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO3174 MO Primary

Addresses

Primary practice location

2142 W Chesterfield Blvd
Springfield, MO 65807-8650

Mailing address

1650 S Enterprise Ave
Ste A100
Springfield, MO 65804-1840
Phone (417) 889-7788

Other identifiers 2

IdentifierTypeStateIssuer
108650OtherMOMISSOURI BLUE CROSS
313888505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070129000138 MO Practitioner - Optometry 2961403365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Clinic PCGroup PAC ID 2668404161, 14 clinicians
William H. Holmes, Inc.Group PAC ID 3870655657, 2 clinicians

Practice addresses (Care Compare)

1650 S Enterprise Ave
Suite A100
Springfield, MO 65804-1840
Phone (417) 889-7788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO3174MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PC Optometrist CurrentSince Aug 28, 2025 Accepting new patients
Vision Clinic PC Optometrist CurrentSince Aug 28, 2025 Accepting new patients
William H. Holmes, Inc. Optometrist CurrentSince Dec 28, 1998 Accepting new patients

Locations

915 State Highway 248
Ste A
Branson, MO 65616
Phone (417) 334-0044

413 N McCroskey St
Nixa, MO 65714
Phone (417) 725-0500

6005 N 21st St
Ozark, MO 65721
Phone (417) 582-2020

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

213 W Olive St
Ste 101
Springfield, MO 65806
Phone (417) 862-3937

3440 S National Ave
Springfield, MO 65807
Phone (417) 886-5444

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1477586360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S ENTERPRISE AVE",
            "address_2": "STE A100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041840",
            "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": "2142 W CHESTERFIELD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-889-7788",
            "fax_number": "417-889-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WILLIAM",
        "middle_name": "HUNGER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BLUE CROSS",
            "identifier": "108650",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313888505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.