NPI 1154591337

Clifford L. Holt, O.D.

Organisation Optometrist Shawnee, KS

Practice location

Address: 6435 Nieman Rd, Shawnee, KS 66203-3325
Phone: (913) 631-6959
Fax: (931) 631-5930

Authorised official

Name: Julie S Holt
Title: Office Manager
Phone: (913) 631-6959

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence KS12613 (KS)

Other Optometrist providers in Kansas →

Registry record

NPI: 1154591337
Entity type: Organization
NPI issued: 4 Mar 2008
Record last updated: 27 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.