Marilyn Kay Holm (NPI# 1104811488, PAC ID# 7911974282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104811488 |
| PAC ID by PECOS | 7911974282 |
| Professional Enrollment ID | I20130326000502 |
| Full Name | Marilyn Kay Holm |
| Organization Legal Name | KETCHIKAN EYE CARE CENTER, L.L.C. |
| Address |
351 Carlanna Lake Rd Ketchikan AK 99901-5614 |
| Phone Number | 9072252020 |
| Gender | F |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2062302532 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 | 9072252020 | KETCHIKAN EYE CARE CENTER, L.L.C. |
| Organization Legal Name | KETCHIKAN EYE CARE CENTER, L.L.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Street Address |
351 CARLANNA LAKE RD |
| City | KETCHIKAN |
| State | AK |
| Zip | 99901-5614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
| Tammy L Earnest | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Chelsea Ria Youmans | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Marina Judith-rowe Mcintyre | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Helen Rose Klein | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Cynthia L Wornstaff | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Sarah Elizabeth Bass | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Gary J Schoenrock | Urology | Peacehealth | 212 Carlanna Lake Rd, Ketchikan, AK 99901-5642 |
| Maureen M Northway | Nurse Practitioner | 130 Carlanna Lake Rd, Suite 201, Ketchikan, AK 99901-5669 | |
| Find all physicians in zip 99901 | |||
| City | KETCHIKAN |
| Zip Code | 99901 |
| Specialty | OPTOMETRY |
| City + Specialty | KETCHIKAN + OPTOMETRY |
Please comment or provide details below to improve the information on Marilyn Kay Holm.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.