Individual
DR. CHARLES HEATH HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1106 WALNUT ST, OSKALOOSA, KS 66066-4203
(785) 863-2000
(786) 863-3333
Mailing address
1106 WALNUT ST, OSKALOOSA, KS 66066-4203
(785) 863-2000
(786) 863-3333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1531
KS
152WC0802X
Corneal and Contact Management Optometrist
2218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134294549
—
KS
Enumeration date
11/21/2006
Last updated
07/06/2010
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