Organization
C. JUSTIN HOLCOMB, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JUSTIN HOLCOMB OD (OPTOMETRIST)
(305) 785-1886
Entity
Organization
Contact information
Practice address
5952 W 16TH AVE, HIALEAH, FL 33012-6814
(305) 220-7555
(786) 534-8633
Mailing address
5952 W 16TH AVE, HIALEAH, FL 33012-6814
(305) 220-7555
(786) 534-8633
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OD60102641
WA
305R00000X
Preferred Provider Organization
OPC4902
FL
305S00000X
Point of Service
OD60102641
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013564100
—
FL
Enumeration date
02/26/2010
Last updated
11/25/2025
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