Deirdre Holmes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4610-T1356 Issued in OH

Practice address

3464 Pentagon PRK Blvd
Beavercreek, OH 45431-1790

Phone

(937) 429-4060

NPI assigned

Mar 21, 2007

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deirdre Estelle Holmes Professional name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1396396750

  OH

  Medicare reassignment NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Beavercreek, OH
  • NPI 1164142444
  NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1699890186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 PENTAGON PRK BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 PENTAGON PRK BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311790",
            "telephone_number": "937-429-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DEIRDRE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4610-T1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "HOLMES",
            "middle_name": "ESTELLE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Debra Hobson, OD
• Kara Ann Hofacker, LISW-S
• Katelyn Diane Hogan
• Maryann Holbrook, CRNA
• Marialexxa Holman, RBT
• Grace Holmes
• Spencer Frederick Holmes, DDS, MS
• John Holt III
• Elizabeth Honeycutt
• Jill Hope, PHARMD

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.