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Marilyn Holm

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.

physician-icon Basic Information

Practice Location 1320 S Countrywood Dr, Wasilla, AK 99623-9228, US
Practice Location Phone316-209-0142
Practice Location Fax
Legal Business NameMARILYN HOLM
Other Organization NameHOLM VISION
Other Organization Name TypeDoing Business As Name
NPI ?1376504035
Entity TypeOrganization
Enumeration Date ? Mar 31, 2006
Last Update Date ? Jan 28, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Marilyn Holm

SpecialtySpecializationLicenseLicense State
Optometrist 1550Kansas

legacy-id-icon Legacy Provider IDs of Marilyn Holm

Provider IdIssuer StateIssuer TypeIssuer
100346290DKansasMedicaid
13089KansasOtherPHS
39850KansasOtherFIRSTGUARD
2062367KansasOtherFIRST HEALTH

official-icon Authorized Official of Marilyn Holm

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/PositionOWNER
Authorized Official Phone Number316-209-0142