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Contact Information

C. JUSTIN HOLCOMB, OD, LLC
5952 W 16TH AVE
HIALEAH, FL33012-6814
 Phone: 305-220-7555
 Fax: 786-534-8633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for C. JUSTIN HOLCOMB, OD, LLC

NPI Number 1023330370
LBN Legal business name C. JUSTIN HOLCOMB, OD, LLC
Authorized official CHRISTOPHER HOLCOMB - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2010
Last updated 11/25/2025 - About 6 months ago
Identifiers
FL License # OPC4902
WA License # OD60102641
FL Medicaid 013564100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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