Individual
PHILLIP J HOLZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2764
WI
152W00000X
Optometrist
Primary
OPT006518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38606500
—
WI
Enumeration date
01/11/2006
Last updated
03/16/2021
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