Larry D Holle (NPI# 1952413924, PAC ID# 4880655513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1952413924 |
| PAC ID by PECOS | 4880655513 |
| Professional Enrollment ID | I20041026000106 |
| Full Name | Larry D Holle |
| Organization Legal Name | TOTAL EYECARE CENTERS PLLC |
| Address |
11230 N Tatum Blvd Suite 100 Phoenix AZ 85028-1641 |
| Phone Number | 6022630850 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2961626197 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11230 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1641 | 6022630850 | TOTAL EYECARE CENTERS PLLC |
| 4015 S Mcclintock Dr, Suite 107, Tempe, AZ 85282-5877 | 4803450090 | TOTAL EYECARE CENTERS PLLC |
| Organization Legal Name | TOTAL EYECARE CENTERS PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doyle D Holle | Optometry | Total Eyecare Centers Pllc | 4015 S Mcclintock Dr, Suite 107, Tempe, AZ 85282-5877 |
| Street Address |
11230 N TATUM BLVD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip | 85028-1641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary N Goodman | Psychologist, Clinical | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Mi Le Tran | Psychiatry | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Larisa Eubank Newell | Psychologist, Clinical | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Lisa Joy Gordon | Clinical Social Worker | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Jason Robert Newell | Clinical Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | |
| Shelley B Dooley | Nurse Practitioner | 11120 N Tatum Blvd, Suite 101, Phoenix, AZ 85028-1628 | |
| Amanda C Rainwater | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Miriam P Cummings | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Joseph M Giancola | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Benjamin W Lesueur | Dermatology | Southwest Skin Specialists LLC | 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630 |
| Find all physicians in zip 85028 | |||
| City | PHOENIX |
| Zip Code | 85028 |
| Specialty | OPTOMETRY |
| City + Specialty | PHOENIX + OPTOMETRY |
Please comment or provide details below to improve the information on Larry D Holle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.