Lisa Jo Holtman

Primary specialty

OptometristTaxonomy code 152W00000X

License

3691 Issued in MN

Practice address

755 Bielenberg Dr Ste 103
Woodbury, MN 55125-4443

Phone

(651) 504-5901

Fax

(651) 504-5902

NPI assigned

Jun 21, 2017

Last updated

Mar 19, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Vantage Point Eyes PLLC

  • Optometrist
  • Woodbury, MN
  • NPI 1649864919
  Medicare reassignment NPD Authorized official
• Burnsville Eye Clinic LLC

  • Optometrist
  • Burnsville, MN
  • NPI 1255575973
  Medicare reassignment NPD
• Lakeville Family Eye Care LLC

  • Optometrist
  • Lakeville, MN
  • NPI 1427292143
  Medicare reassignment NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1710407622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 COUNTY ROAD 42 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374652",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BIELENBERG DR STE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254443",
            "telephone_number": "651-504-5901",
            "fax_number": "651-504-5902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17690 Kenwood Trl",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550449764",
            "country_code": "US",
            "telephone_number": "952-898-9588",
            "fax_number": "952-898-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 County Road 42 E",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374652",
            "country_code": "US",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTMAN",
        "first_name": "LISA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "948",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Elizabeth Holman
• Kristen Marie Holmen, MPT
• Sarah Marie Holmgren, CNM
• Amy Holmstadt
• Todd Jeramie Holter, PAC
• Christin Holy, LICSW
• Hong Fu Home Health Care
• Linn Honken, LPC, LPCC
• Hope Village, LLC
• Heather M Hopkins, PHARMD

• Optometrist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• 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.