Organization
MARILYN HOLM
Active
Other names
Holm Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN KAY HOLM O.D. (OWNER)
(316) 209-0142
Entity
Organization
Contact information
Practice address
1320 S COUNTRYWOOD DR, WASILLA, AK 99623-9228
(316) 209-0142
Mailing address
1320 S COUNTRYWOOD DR, WASILLA, AK 99623-9228
(316) 209-0142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1550
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100346290D
—
KS
01
—
13089
PHS
KS
01
—
2062367
FIRST HEALTH
KS
01
—
39850
FIRSTGUARD
KS
Enumeration date
03/31/2006
Last updated
01/28/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up