Clifford L. Holt, O.D.,P.A.

LBN: Clifford L. Holt, O.D.,P.A.
Clifford L. Holt, O.D.,P.A. is an health care organization with primary practice located at 6435 Nieman Rd , Shawnee KS 66203-3325. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Clifford L. Holt, O.D.,P.A. can be contacted via phone (913) 631-6959, or through Holt, Julie S. via phone (913) 631-6959.

Contact Information

Primary practice address
6435 Nieman Rd Shawnee KS 66203-3325
Phone: (913) 631-6959
Fax: (913) 631-5930
Website:
Map and Directions
Authorized official contact:
Name: Holt, Julie S.
Phone: (913) 631-6959

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1261-3 Kansas

Profile Details

NPI number 1013282268
LBN Legal business name Clifford L. Holt, O.D.,P.A.
DBA Doing business as
Authorized official Holt, Julie S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 30th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013282268 NPPES
Kansas MEDICAID 100218370C

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