Krister L Holmberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12692T Issued in CA

Practice address

2087 Arena Blvd.
Suite 120
Sacramento, CA 95834

Phone

(916) 419-8167

Fax

(916) 419-6398

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

New England College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arena Eye Care Inc an Optometric CorporationGroup PAC ID 1052613460, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Arena Eye Care, Inc., an Optometric Corporation

  • Optometrist
  • Sacramento, CA
  • NPI 1366452369
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1932142676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 ARENA BLVD STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342322",
            "telephone_number": "916-419-8167",
            "fax_number": "916-419-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 ARENA BLVD.",
            "address_2": "SUITE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834",
            "telephone_number": "916-419-8167",
            "fax_number": "916-419-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "KRISTER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12692T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Holm
• Chad Avery Holm, M.A.
• Desiree De Holman
• Rachel Kaitlyn Holman
• Sabina Diane Holman, BSN, RN, PHN
• Oscar Holmberg
• Joan Holmes-Asamoah, NP
• April Holmes
• Arlene Holmes
• Autumn Rose Holmes

• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.
• 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.