DR. MARILYN KAY HOLM O.D.
NPI 1104811488
Optometrist in Port Angeles, WA
About Dr. Marilyn Kay Holm O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARILYN KAY HOLM O.D. (NPI 1104811488) is an individual optometrist in Port Angeles, Washington, licensed in Washington (OD61684652) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University - School Of Optometry (1999).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Marilyn Kay Holm O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Marilyn Holm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Angeles, WA 98362
- Reassigned Medicare billing, Washington enrollment
- 36 clinicians in this Medicare group
Ketchikan, AK 99901
- Reassigned Medicare billing, Alaska enrollment
- 3 clinicians in this Medicare group
Christiansted, VI 00820
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marilyn Holm's NPI number?
The NPI number for Marilyn Holm is 1104811488. It was assigned to this individual provider in the NPPES registry on September 13, 2005.
Where is Marilyn Holm located?
Marilyn Holm practices at 240 W Front St Ste A, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.
What is Marilyn Holm's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Marilyn Holm enrolled in Medicare?
Yes. Marilyn Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marilyn Holm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marilyn Holm reassigns Medicare benefits to 3 organizations: North Olympic Healthcare Network (Port Angeles, WA), Ketchikan Eye Care Center, L.L.C. (Ketchikan, AK) and St Croix Vision Center Inc (Christiansted, VI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marilyn Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marilyn Holm accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Marilyn Holm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marilyn Holm was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Marilyn Kay Holm, O.D. · NPI 1104811488
Optometrist provider in Port Angeles, Washington. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1104811488 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD61684652 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 W FRONT ST STE A, Port Angeles, WA 98362-2609
- **Phone:** (360) 452-7891 · **Fax:** (360) 452-8087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Olympic Healthcare Network (NPI 1154702264, Port Angeles, WA); Ketchikan Eye Care Center, L.L.C. (NPI 1255483970, Ketchikan, AK); St Croix Vision Center Inc (NPI 1669698387, Christiansted, VI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 1999
## Record status
- **NPPES last updated:** July 14, 2026
- **Other identifiers:** Other 2062367; Medicaid 100346290D (KS); Other 13089 (KS); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104811488) · Data from the CMS NPPES public registry.