NPIMap

Organization Active NPI

Holman Optometrics LLC

  • Optometrist
  • Greenville, AL
National Provider Identifier
1750612149
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B81-TA-793 Issued in AL
Legal business name
HOLMAN OPTOMETRICS LLC
Practice address
122 W Commerce St
Greenville, AL 36037-2216
Phone
(334) 382-3691
NPI assigned
Jan 25, 2010
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Dr. Bryan T Holman, ODNPI 1225285083
Title
Owner
Phone
(334) 403-2005

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
Optometrist 152W00000X S-B81-TA-793 AL Primary

Addresses

Primary practice location

122 W Commerce St
Greenville, AL 36037-2216

Mailing address

8925 Cotswold CT
Montgomery, AL 36117-8455
Phone (334) 403-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000554 AL Part B Supplier - Clinic/Group Practice 7416086681 Receives reassigned benefits from 5 practitioners
Practice locations: Greenville, AL; Millbrook, AL

National Provider Directory

National Provider Directory

Locations

3331 Highway 14
Millbrook, AL 36054
Phone (334) 285-4828

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1750612149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 COTSWOLD CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178455",
            "telephone_number": "334-403-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COMMERCE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372216",
            "telephone_number": "334-382-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN OPTOMETRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-403-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B81-TA-793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.