NPIMap

Organization Active NPI

William E Holcomb MD & Associates, Inc.

  • Ophthalmology Physician
  • Cullman, AL
National Provider Identifier
1831264407
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13470 Issued in AL
Legal business name
WILLIAM E HOLCOMB MD & ASSOCIATES, INC.
Practice address
1813 Kress Street NE
Cullman, AL 35058-1565
Phone
(256) 739-3605
Fax
(256) 734-8681
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Kathleen Shea
Title
Cfo
Phone
(636) 227-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X S726 AL
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 13470 AL Primary

Addresses

Primary practice location

1813 Kress Street NE
Cullman, AL 35058-1565

Mailing address

1813 Kress Street NE
Cullman, AL 35058-1565
Phone (256) 739-3605

Other identifiers 2

IdentifierTypeStateIssuer
CK9309OtherALRAILROAD MEDICARE GROUP #
J244OtherALMEDICARE GROUP#

Other names 1

  • William E Holcomb MD & Associates, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051025000531 AL Part B Supplier - Clinic/Group Practice 6103843685 Receives reassigned benefits from 6 practitioners
Practice locations: Cullman, AL
O20100930059796 AL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 6103843685 Practice locations: Cullman, AL

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
William E Holcomb MD & Assoc Inc1813 Kress St, Cullman, AL 35058-1565(256) 739-3605 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Feb 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
William E Holcomb MD Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1831264407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 KRESS STREET NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581565",
            "telephone_number": "256-739-3605",
            "fax_number": "256-734-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 KRESS STREET NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581565",
            "telephone_number": "256-739-3605",
            "fax_number": "256-734-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E HOLCOMB MD & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-227-2600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S726",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "13470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CK9309",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP#",
            "identifier": "J244",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William E Holcomb MD & Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.