Provider Demographics
NPI:1225285083
Name:HOLMAN, BRYAN TRUETT (OD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:TRUETT
Last Name:HOLMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1251
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-0028
Mailing Address - Country:US
Mailing Address - Phone:334-285-4828
Mailing Address - Fax:334-285-4881
Practice Address - Street 1:3331 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1838
Practice Address - Country:US
Practice Address - Phone:334-285-4828
Practice Address - Fax:334-285-4881
Is Sole Proprietor?:No
Enumeration Date:2008-08-24
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B81-TA-793152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist