Provider Demographics
NPI:1225039043
Name:HOLMWOOD, PAUL C (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:HOLMWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:811 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3260
Mailing Address - Country:US
Mailing Address - Phone:716-631-8888
Mailing Address - Fax:716-631-3803
Practice Address - Street 1:811 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3260
Practice Address - Country:US
Practice Address - Phone:716-631-8888
Practice Address - Fax:716-631-3803
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006068207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180028794OtherRAILROAD MEDICARE
NY01250393Medicaid
E98192Medicare UPIN
180028794OtherRAILROAD MEDICARE