MARILYN HOLM (NPI# 1376504035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376504035 |
| Entity Type | Organization |
| Organization Name | MARILYN HOLM |
| Other Organization Name | HOLM VISION |
| Practice Address |
1320 S Countrywood Dr Wasilla AK 99623-9228 |
| Practice Telephone | 3162090142 |
| Mailing Telephone | 3162090142 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | DR. MARILYN KAY HOLM (OWNER) |
| Authorized Official Telephone | 3162090142 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1550 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHS | 13089 | 01 |
| KS | 100346290D | 05 | |
| KS | FIRST HEALTH | 2062367 | 01 |
| KS | FIRSTGUARD | 39850 | 01 |
| Other Name | Type Code |
|---|---|
| Holm Vision | Doing Business As Name - Organization |
| Street Address |
1320 S COUNTRYWOOD DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| 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 |
|---|---|---|---|---|
| 1942832183 | Alexandra Jordan Louise Coon | Optometrist | 935 E Westpoint Dr Ste 207, Wasilla, AK 99654-7181 | 2020-02-05 |
| 1528503158 | Eye Guys LLC | Optometrist | 285 E Parks Hwy, Wasilla, AK 99654-7039 | 2017-01-06 |
| 1063740363 | Wolf Eye Center, Inc. | Optometrist | 4505 E Greenstreet Circle, Wasilla, AK 99654 | 2009-11-24 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1194854604 | Alaska Eye Care Centers, Apc | Optometrist | 1700 E Parks Hwy # 300, Wasilla, AK 99654-7352 | 2007-03-02 |
| 1881660207 | Kevin C. Berg, O.d., LLC | Optometrist | 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 | 2006-02-25 |
| 1144295809 | Lynn J Coon | Optometrist | 935 E Westpoint Dr, Ste 207, Wasilla, AK 99654 | 2006-02-17 |
| 1730186867 | Edward Carl Godnig | Optometrist | 285 E Parks Hwy Ste A, Wasilla, AK 99654-7039 | 2005-07-05 |
| 1992344923 | Cap Eye LLC | Optometrist | 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 | 2019-12-20 |
| 1063068328 | Austin Anderson | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2019-08-13 |
| Find all providers in WASILLA | ||||
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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.