Steven R Holt OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1305 Issued in AZ

Legal business name

STEVEN R HOLT OD PLLC

Practice address

15341 W Waddell Rd Ste 106
Surprise, AZ 85379-5169

Phone

(623) 544-7800

Fax

(623) 544-5260

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Steven Robert Holt, ODNPI 1417936014

Title

Optometrist/Owner

Phone

(623) 824-2591

Specialties & licenses 4

Addresses

Other names 1

• Holt Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Steven R Holt, OD

  • Optometrist
  • Surprise, AZ
  • NPI 1417936014
  Medicare reassignment Care Compare group NPD Authorized official
• Patricia R Bogaard, O.D.

  • Optometrist
  • Surprise, AZ
  • NPI 1255378279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1902246291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD STE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795169",
            "telephone_number": "623-544-7800",
            "fax_number": "623-544-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD STE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795169",
            "telephone_number": "623-544-7800",
            "fax_number": "623-544-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R HOLT OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "623-824-2591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1305",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "1305",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "AZ",
            "license": "1305",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "1305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holt Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Stendebach, DC
• John William Stenklyft, DDS
• Kaylie Morgan Stephenson
• Lindsay Renee Sterling, RN
• Martin G Sterusky, MD
• Lorraine Stevens, P.A.
• Laura A Stevenson, M.S. CCC-SLP
• Alicja Stewart, PH.D.
• Brandon Stockton
• Rebecca Stoddard, MOT OTR/L

• Optometrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.