Provider Demographics
NPI:1891810719
Name:WILLIAM S HOLMES
Entity Type:Organization
Organization Name:WILLIAM S HOLMES
Other - Org Name:WOODSVILLE EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
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:603-747-3190
Mailing Address - Street 1:50 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1233
Mailing Address - Country:US
Mailing Address - Phone:603-747-3190
Mailing Address - Fax:603-747-2946
Practice Address - Street 1:50 SMITH ST
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1233
Practice Address - Country:US
Practice Address - Phone:603-747-3190
Practice Address - Fax:603-747-2946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
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
NH80587789Medicaid
NH80587789Medicaid
NHT25689Medicare UPIN