Loreen Fort Holbus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2183 Issued in MN

Practice address

3708 Highway 63 N
Rochester, MN 55906-3902

Phone

(507) 281-0657

NPI assigned

Nov 17, 2006

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 identifiers 1

Other names 1

• Loreen Fort Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Mart Inc

  • Optician
  • Milwaukee, WI
  • NPI 1366491227

  Optometrist

  NPD (past)
• Vision Mart, Inc

  • Optician
  • Milwaukee, WI
  • NPI 1184753352
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821162389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 HIGHWAY 63 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063902",
            "telephone_number": "507-281-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 HIGHWAY 63 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063902",
            "telephone_number": "507-281-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 W Carmen Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532252116",
            "country_code": "US",
            "telephone_number": "414-462-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORT HOLBUS",
        "first_name": "LOREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38576500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREEN",
            "last_name": "FORT",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Formea, PHARMD
• Roham Foroumadi, MD
• Danielle Sue Forrester, DNP, FNP-C
• Andrea Catherine Forslund, PHARMD
• Anna Marie Forsman-Johnson, M.S.,CCC-SLP
• Antonio M Foruria de Diego, M.D.
• Lexi Fosburgh, RN
• Marion Christina Fosdick
• Tepanta Fossett, M.A.
• Bradley William Fossum, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.