Active NPI
Sherrie E Holman
- Eyewear Supplier
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- ODT1361
- Legal business name
- SHERRIE E HOLMAN
- Practice address
- 1450 Decatur Pike
Athens, TN 37303-2470 - Phone
- (423) 744-3938
- Fax
- (423) 745-6565
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherrie E Holman, O.D.
- Title
- Optometrist
- Phone
- (423) 744-3938
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | ODT1361 | TN | Primary |
Addresses
Primary practice location
1450 Decatur Pike
Athens, TN 37303-2470
Mailing address
1450 Decatur Pike
Athens, TN 37303-2470
Phone (423) 744-3938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930044574 | TN | DME Supplier - Physician - Optometrist | 1456561521 | Practice locations: Athens, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sherrie E Holman | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1450 Decatur Pike
Athens, TN 37303
Phone (423) 744-3938
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Athens, TN
- NPI 1174504179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1568640480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 DECATUR PIKE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373032470",
"telephone_number": "423-744-3938",
"fax_number": "423-745-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 DECATUR PIKE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373032470",
"telephone_number": "423-744-3938",
"fax_number": "423-745-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRIE E HOLMAN",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "SHERRIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "423-744-3938",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TN",
"license": "ODT1361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.