STEVEN D HOLMSTROM O D INC (NPI# 1164660072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164660072 |
| Entity Type | Organization |
| Organization Name | STEVEN D HOLMSTROM O D INC |
| Other Organization Name | CANYON LAKE OPTOMETRY |
| Practice Address |
31722 Railroad Canyon Rd Canyon Lake CA 92587-9486 |
| Practice Telephone | 9512444444 |
| Mailing Telephone | 9512444444 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | DR. STEVEN D HOLMSTROM (PRESIDENT) |
| Authorized Official Telephone | 9512444444 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11993 | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Canyon Lake Optometry | Doing Business As Name - Organization |
| Street Address |
31722 RAILROAD CANYON RD |
| City | CANYON LAKE |
| State | CA |
| Zip Code | 92587-9486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912958539 | Mary Lucinda Demoss | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2006-05-16 |
| 1962673186 | Steven D. Holmstrom, O.d. | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2008-03-15 |
| 1093844342 | Steven D Holmstrom | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2007-03-05 |
| 1457396871 | Mary L. Demoss O.d. Inc. | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964635 | Aliah Hasan | Marriage & Family Therapist | 29049 Scout Crt, Canyon Lake, CA 92587 | 2019-07-22 |
| 1316308166 | Chanel Chew Castillo | Dentist | 30290 Skippers Way Dr, Canyon Lake, CA 92587 | 2016-03-08 |
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1902901630 | William Brent Robinson | Dentist | 31570 Railroad Canyon Rd, Ste 101, Canyon Lake, CA 92587 | 2006-09-14 |
| 1629582820 | Ashleigh Brown | Specialist/Technologist | 30060 Skippers Way Dr, Canyon Lake, CA 92587-7404 | 2017-11-27 |
| 1013171255 | California Medical Supply | Durable Medical Equipment & Medical Supplies | 30199 Skippers Way Dr, Canyon Lake, CA 92587-7405 | 2008-07-16 |
| 1548748635 | Mason Dental Hygiene Group | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2018-08-01 |
| 1720633027 | Amy Lynn Mason | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2019-08-05 |
| 1477752558 | Roger Strong | Dentist | 30389 Point Marina Dr, Canyon Lake, CA 92587-7413 | 2007-07-17 |
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| Find all providers in zip 92587 | ||||
| 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 |
|---|---|---|---|---|
| 1912958539 | Mary Lucinda Demoss | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2006-05-16 |
| 1962673186 | Steven D. Holmstrom, O.d. | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2008-03-15 |
| 1093844342 | Steven D Holmstrom | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2007-03-05 |
| 1457396871 | Mary L. Demoss O.d. Inc. | Optometrist | 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 92587 |
Please comment or provide details below to improve the information on STEVEN D HOLMSTROM O D INC.
| 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.