Organization Active NPI

JM Holder

  • Optometrist
  • Stevenson, AL
National Provider Identifier
1881865376
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JM HOLDER
Practice address
104 Adams St
Ste F
Stevenson, AL 35772-3790
Phone
(256) 437-2154
Fax
(256) 437-2155
NPI assigned
Mar 12, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
JM Holder
Title
Owner
Phone
(256) 437-2154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

104 Adams St
Ste F
Stevenson, AL 35772-3790

Mailing address

104 Adams St
Ste F
Stevenson, AL 35772-3790
Phone (256) 437-2154

National Provider Directory

National Provider Directory

Locations

104 Adams St
Ste F
Stevenson, AL 35772
Phone (256) 437-2154

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1881865376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ADAMS ST",
            "address_2": "STE F",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357723790",
            "telephone_number": "256-437-2154",
            "fax_number": "256-437-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ADAMS ST",
            "address_2": "STE F",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357723790",
            "telephone_number": "256-437-2154",
            "fax_number": "256-437-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM HOLDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "JM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-437-2154"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.