NPI 1013282268 · live from the CMS NPI Registry
Clifford L. Holt, O.D.,P.A.
Optometrist in Shawnee, KS. National Provider Identifier 1013282268, active.
NPI record
| NPI | 1013282268 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6435 Nieman Rd, Shawnee, KS 66203 |
| Practice phone | 913-631-6959 |
| Enumerated | March 20, 2012 |
| Last updated | March 30, 2012 |
| Authorized official | Julie Holt, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1261-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.