William C Holcomb OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000064 Issued in VA

Legal business name

WILLIAM C HOLCOMB OD PC

Practice address

160 Mt Pleasant Rd
Chesapeake, VA 23322-4152

Phone

(757) 482-4022

Fax

(757) 482-9065

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie R Smithdeal

Title

Insurance Specialist

Phone

(757) 482-4022

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Great Bridge Eye Care Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Chandler

  • Optometrist
  • Manassas, VA
  • NPI 1184073033
  NPD
• Shannon Worthington

  • Optometrist
  • Chesapeake, VA
  • NPI 1134773534
  NPD
• Timothy Paul Tobin, O.D.

  • Optometrist
  • Norfolk, VA
  • NPI 1518937846
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1831373315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C HOLCOMB OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "SMITHDEAL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "757-482-4022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204016",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "044496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0883370001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Bridge Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy Dominique Wilkins
• Michael Lyn Wilkinson I
• Seth Will
• Casey Dashiell Willaford, PA-C
• William B. Pruden, D.M.D., P.L.C.
• William H. Walls, D.D.S., P.C.
• William K Rand, III, Gynecology PLLC
• William L Mulligan PHD PC
• William Lawrence Live Love & Learn LLC
• Angel Marie Williams-Kent, FNP-C

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.