Provider Demographics
NPI:1831264407
Name:WILLIAM E HOLCOMB MD & ASSOCIATES, INC.
Entity type:Organization
Organization Name:WILLIAM E HOLCOMB MD & ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-227-2600
Mailing Address - Street 1:1813 KRESS STREET NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1565
Mailing Address - Country:US
Mailing Address - Phone:256-739-3605
Mailing Address - Fax:256-734-8681
Practice Address - Street 1:1813 KRESS STREET NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1565
Practice Address - Country:US
Practice Address - Phone:256-739-3605
Practice Address - Fax:256-734-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS726152W00000X
AL13470207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCK9309OtherRAILROAD MEDICARE GROUP #
ALJ244OtherMEDICARE GROUP#
AL4772500001Medicare NSC
ALJ244OtherMEDICARE GROUP#
ALJ244Medicare PIN
AL051512914Medicare ID - Type UnspecifiedGARY FEW, OD
AL1427037605Medicare NSC
AL051512915Medicare ID - Type UnspecifiedWILLIAM HOLCOMB, MD