JAVEN D. HOLM OD PA (NPI# 1093874364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093874364 |
| Entity Type | Organization |
| Organization Name | JAVEN D. HOLM OD PA |
| Other Organization Name | FAMILY EYE CARE |
| Practice Address |
1210 East Blue Earth Avenue Fairmont MN 56031-4441 |
| Practice Telephone | 5072383363 |
| Mailing Telephone | 5072383363 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | DR. JAVEN DELANO HOLM (OWNER) |
| Authorized Official Telephone | 5072383363 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MN2192 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 039223500 | 05 | |
| MN | FEC GLASSES NUMBER | 972N0FA | 01 |
| MN | 051651100 | 05 | |
| MN | JAVEN HOLM OD NPI | 1285630632 | 01 |
| MN | MEDICARE GROUP # | C03824 | 01 |
| MN | DR HOLM BCBS # | 972N8FA | 01 |
| Other Name | Type Code |
|---|---|
| Family Eye Care | Doing Business As Name - Organization |
| Street Address |
1210 EAST BLUE EARTH AVENUE |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345067 | Spencer Seibert | Optometrist | 1307 Albion Ave Ste 102, Fairmont, MN 56031-1850 | 2017-06-05 |
| 1568720415 | Kelli Mccartney O.d. PC | Optometrist | 1476 Lawrence St, Fairmont, WV 26554-2355 | 2012-04-30 |
| 1477677714 | Tekavec Inc. | Optometrist | 2690 White Hall Blvd, Fairmont, WV 26554-8226 | 2007-03-19 |
| 1255416137 | Vision Health Care, Inc. | Optometrist | 717 Fairmont Ave, Fairmont, WV 26554-5135 | 2006-10-26 |
| 1578648572 | Carrie Jo Fick | Optometrist | 32 Tygart Mall Rd, Inside Walmart, Fairmont, WV 26554 | 2006-10-26 |
| 1962513176 | Fabian Jean Buckley | Optometrist | 1250 Goemann Rd, Fairmont, MN 56031-4659 | 2006-08-31 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1114901733 | Robert Friese | Optometrist | Po Box 800, Fairmont, MN 56031-0800 | 2005-12-06 |
| 1558344671 | Associate Optometry, P.a. | Optometrist | 1307 Albion Ave, Ste. 102 Associate Optometry, P.a., Fairmont, MN 56031-1840 | 2005-11-22 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.