Individual provider Active NPI

Joshua Eric Holmes, O.D.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1942282199
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002123 Issued in GA
Practice address
1955 E Montgomery Cross Rd
Savannah, GA 31406-5036
Phone
(912) 352-8029
NPI assigned
Nov 15, 2005
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002123 GA Primary

Addresses

Primary practice location

1955 E Montgomery Cross Rd
Savannah, GA 31406-5036

Mailing address

17 Island Dr
Savannah, GA 31406-5238
Phone (912) 596-8729

Other practice location 1

434 S Columbia Ave
Rincon, GA 31326-9079
Phone (912) 826-6827

Other identifiers 1

IdentifierTypeStateIssuer
275638968AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20031125000426 GA Practitioner - Optometry 4981508587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.49 of 100Reported as group
Quality
98.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002123GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boland Eye Center PC CurrentSince Nov 1, 2003 Accepting new patients
David B Bradley Optometrist PC Optometrist Past Accepting new patients

Locations

1615 E Montgomery Xrds
Savannah, GA 31406
Phone (912) 352-2299

Interoperability endpoints

  • Direct secure messaging: drholmes@bolandeye.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1942282199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ISLAND DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065238",
            "telephone_number": "912-596-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 E MONTGOMERY CROSS RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065036",
            "telephone_number": "912-352-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 S Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313269079",
            "country_code": "US",
            "telephone_number": "912-826-6827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JOSHUA",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275638968A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.