DEMENTRE HOLMES (NPI# 1821419979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821419979 |
| Entity Type | Individual |
| Full Name | DEMENTRE HOLMES |
| Credential | OPTICIAN |
| Practice Address |
600 W Dunlap Ave Phoenix AZ 85021-3527 |
| Mailing Address |
Po Box 6648 Glendale AZ 85312-6648 |
| Practice Telephone | 4805777096 |
| Practice Fax Number | 8008694964 |
| Mailing Telephone | 4805777096 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
2447I | AZ | Eye and Vision Services Providers |
| Street Address |
600 W DUNLAP AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608631 | National Vision Inc | Technician/Technologist | 4320 E Cactus Rd, Phoenix, AZ 85032-7636 | 2018-08-07 |
| 1033695978 | National Vision Inc | Technician/Technologist | 2651 N 44th St Ste 2, Phoenix, AZ 85008-1574 | 2018-07-13 |
| 1093202483 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250p, Phoenix, AZ 85016-3427 | 2018-04-20 |
| 1912380874 | National Vision, Inc. | Technician/Technologist | 3405 W Thunderbird Rd, Ste 5, Phoenix, AZ 85053-5699 | 2015-07-09 |
| 1356721104 | National Vision, Inc. | Technician/Technologist | 4625 E Ray Rd, Phoenix, AZ 85044-6229 | 2015-06-08 |
| 1578792305 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250m, Phoenix, AZ 85016-3427 | 2009-07-14 |
| 1770795775 | Lions Vision Center | Technician/Technologist | 1016 N 32nd Street Suite 2, Phoenix, AZ 85326 | 2007-05-04 |
| 1275696361 | Wal-mart Stores, Inc. | Technician/Technologist | 6150 S 35th Ave, Phoenix, AZ 85041-5004 | 2006-12-19 |
| 1629140264 | Nationwide Vision Center, LLC | Technician/Technologist | 1650 E Camelback Rd, #160, Phoenix, AZ 85016-3941 | 2006-11-15 |
| 1710059365 | Nationwide Vision Center, LLC | Technician/Technologist | 7625 W Lower Buckeye Rd, Suite #105, Phoenix, AZ 85043-3446 | 2006-11-15 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DEMENTRE HOLMES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.