Javen D. Holm Od Pa in Fairmont - Optometrist

Javen D. Holm Od Pa - NPI 1093874364

Javen D. Holm Od Pa is a Optometrist in Fairmont, Minnesota. Javen D. Holm Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Javen D. Holm Od Pa is 1093874364. The last update date is 2010-12-14.

Javen D. Holm Od Pa's current location address is 1210 East Blue Earth Avenue, Fairmont, Minnesota. You can contact this provider via phone number 5072383363. The mailing address for Javen D. Holm Od Pa is 1210 East Blue Earth Avenue, Fairmont, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Javen D. Holm Od Pa
Address 1210 East Blue Earth Avenue, Fairmont, Minnesota
Phone Number 5072383363
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Holm Delano Javen
Credentials OD
Telephone Number 5072383363

NPI Number Detail

NPI Number 1093874364
Provider Enumeration Date 2006-12-06
Last Updated Date 2010-12-14

Provider Mailing Address Detail

Address 1210 East Blue Earth Avenue
City Fairmont
State Minnesota (MN)
Post Code 560314441
Phone Number 5072383363
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No MN2192
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1285630632 MN JAVEN HOLM OD NPI
51651100 MN --
972N0FA MN FEC GLASSES NUMBER
C03824 MN MEDICARE GROUP #
39223500 MN --
972N8FA MN DR HOLM BCBS #

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FAQs about Javen D. Holm Od Pa

What is the unique 10-digit identifier code issued to Javen D. Holm Od Pa by the Centers for Medicare & Medicaid Services?

The Javen D. Holm Od Pa has been assigned the NPI (National Provider Identifier) 1093874364 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Javen D. Holm Od Pa's facilities are geographically located?

The facilities of Javen D. Holm Od Pa are physically situated at the following location: 1210 East Blue Earth Avenue, Fairmont, MN, 560314441.

What is Javen D. Holm Od Pa's area of expertise and its corresponding taxonomy classification?

The Javen D. Holm Od Pa's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1093874364 to Javen D. Holm Od Pa?

The Javen D. Holm Od Pa received its 1093874364 assignment from the Centers for Medicare & Medicaid Services on 2006-12-06.

When was the information regarding Javen D. Holm Od Pa most recently updated?

The details pertaining to the Javen D. Holm Od Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-12-14.

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