NPIMap

Organization Active NPI

Steven D. Holmstrom, O.D.

  • Optometrist
  • Canyon Lake, CA
National Provider Identifier
1962673186
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11993 Issued in CA
Legal business name
STEVEN D. HOLMSTROM, O.D.
Practice address
31722 Railroad Canyon Rd
Canyon Lake, CA 92587-9486
Phone
(951) 244-4444
Fax
(951) 244-1414
NPI assigned
Mar 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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

Authorized official

Name
Dr. Steven David Holmstrom, O.D.NPI 1093844342
Title
Owner
Phone
(951) 244-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11993 CA Primary

Addresses

Primary practice location

31722 Railroad Canyon Rd
Canyon Lake, CA 92587-9486

Mailing address

31722 Railroad Canyon Rd
Canyon Lake, CA 92587-9486
Phone (951) 244-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205539200000",
    "number": "1962673186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31722 RAILROAD CANYON RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879486",
            "telephone_number": "951-244-4444",
            "fax_number": "951-244-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31722 RAILROAD CANYON RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879486",
            "telephone_number": "951-244-4444",
            "fax_number": "951-244-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. HOLMSTROM, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLMSTROM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-244-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.