NPI 1023161791

Justin E Sandholm, OD

Practitioner Optometrist Montgomery, AL

Practice location

Address: 42d Medical Group 300 South Twining Street, Bldg 760, Montgomery, AL 36112-6027
Phone: (334) 953-5200

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2876 (CO)

Other Optometrist providers in Alabama →

Registry record

NPI: 1023161791
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 18 Aug 2025

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.