National Provider Identifier Database

KIMBERLY J CALNAN HOLT, OD – NPI #1790881514
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.

Contact Information

KIMBERLY J CALNAN HOLT, OD
16818 E DESMET CT
SPOKANE VALLEY, WA  99216-3542
Phone: 509-456-5380
Fax: 509-456-5381
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY J CALNAN HOLT

NPI Number 1790881514
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/16/2006
Last updated 11/19/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • ID License #: ODP-100200
  • MT License #: OPT-OPT-LIC-579
  • WA License #: 3437
  • WA License #: OD00003437
  • ID Medicaid: 80810904
  • MT Medicaid: 1790881514
  • WA Medicaid: 1019169
  • ID Other: 1594513 MEDICARE ID
  • MT Other: M011000850 MEDICARE MT
  • WA Other: 0135439 L & I
  • WA Other: G8889165 MEDICARE WA
  • WA Other: G8889166 MEDICARE WA
  • WA Other: G8889167 MEDICARE WA
  • WA Other: G8889168 MEDICARE WA
  • WA Other: G8889169 MEDICARE WA
  • WA Other: 410045546 RAILROAD MEDICARE
Hospital affiliation n/a

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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