Organization Active NPI

Sherrie E Holman

  • Eyewear Supplier
  • Athens, TN
National Provider Identifier
1568640480
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ODT1361 Issued in TN
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

Updated by the provider on Jun 20, 2024

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.NPI 1174504179
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930044574 TN DME Supplier - Physician - Optometrist 1456561521 Practice locations: Athens, TN

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Sherrie E Holman1450 Decatur Pike, Athens, TN 37303-2470(423) 744-3938 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jul 15, 2004

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.