# C JUSTIN HOLCOMB OD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750761904
- **Authorized official:** CHRISTOPHER JUSTIN HOLCOMB OD (OWNER)
- **Authorized official phone:** (305) 220-7555

## Contact information

- **Practice address:** 8410 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2092
- **Practice address phone:** (305) 220-7555
- **Practice address fax:** (305) 220-6020
- **Mailing address:** 8410 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2092
- **Mailing address phone:** (305) 220-7555
- **Mailing address fax:** (305) 220-6020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4902 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 06/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013564100 | — | FL |