DR. JUSTIN E SANDHOLM O.D.
NPI 1023161791
Optometrist in Montgomery, AL

Q: What is the provider's specialty?

The provider's specialty is Optometrist with taxonomy code 152W00000X.

Active since January 18, 2007PECOS Enrolled

42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760, MONTGOMERY, AL 36112(334) 953-5200 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2025, Nov 16, 2023, Jul 6, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Justin E Sandholm O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN E SANDHOLM O.D. (NPI 1023161791) is an individual optometrist in Montgomery, Alabama, licensed in Colorado (2876) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023161791

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JUSTIN E SANDHOLMCredential: O.D.

Location Address42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760Montgomery, AL 36112-6027

Mailing Address42d Medical Group, 300 South Twining Street, Bldg 760Montgomery, AL 36112-6027 · (334) 953-5200

Phone(334) 953-5200

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 18, 20254 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1023161791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CO · 2876

Definition

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

42D MEDICAL GROUP, Montgomery, AL 36112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin E Sandholm O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.