Provider Demographics
NPI:1346364197
Name:WILLIAM S HOLMES, OD
Entity Type:Organization
Organization Name:WILLIAM S HOLMES, OD
Other - Org Name:LITTLETON EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-444-2592
Mailing Address - Street 1:104 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4026
Mailing Address - Country:US
Mailing Address - Phone:603-444-2592
Mailing Address - Fax:603-444-0804
Practice Address - Street 1:104 MEADOW ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4026
Practice Address - Country:US
Practice Address - Phone:603-444-2592
Practice Address - Fax:603-444-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH319152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE3667Medicare ID - Type Unspecified
NH0737400001Medicare NSC
NHT25689Medicare UPIN
NHRE3667Medicare PIN