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Contact Information

JUSTIN R HOLBROOK, OD
7321 BALMER ST BLDG 570
HILL AFB, UT84056-5012
 Phone: 202-597-9686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JUSTIN R HOLBROOK · (Male)

NPI Number 1730345604
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/31/2008
Last updated 01/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7061014-8908
  • UT License # 7061014-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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