Marilyn Holm is a health care provider in Wasilla, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1320 S Countrywood Dr, Wasilla, AK 99623-9228, US|
|Practice Location Phone||316-209-0142|
|Practice Location Fax|
|Legal Business Name||MARILYN HOLM|
|Other Organization Name||HOLM VISION|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Mar 31, 2006|
|Last Update Date ?||Jan 28, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Optometrist||Eye and Vision Services Providers||1550||Kansas|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Marilyn Holm's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Marilyn Kay Holm (O.D.)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||316-209-0142|