NPI 1154591337 · live from the CMS NPI Registry
Clifford L. Holt, O.D.
Optometrist in Shawnee, KS. National Provider Identifier 1154591337, active.
NPI record
| NPI | 1154591337 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6435 Nieman Rd, Shawnee, KS 66203 |
| Practice phone | 913-631-6959 |
| Enumerated | March 4, 2008 |
| Last updated | April 27, 2012 |
| Authorized official | Julie Holt, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ks12613 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.