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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARILYN KAY HOLM O.D.
NPI 1104811488
Optometrist in Port Angeles, WA

Active since September 13, 2005PECOS Enrolled
240 W FRONT ST STE A, PORT ANGELES, WA 98362(360) 452-7891(360) 452-8087 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 7, 2023, Nov 15, 2022 and 1 more (4 updates tracked since 2017).

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

NPI1104811488
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARILYN KAY HOLMCredential: O.D.
Location Address240 W FRONT ST STE APort Angeles, WA 98362-2609
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891
Phone(360) 452-7891
Fax(360) 452-8087
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1999
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1104811488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WA · OD61684652✔ Licensed in AK · 334✔ Licensed in KS · 1550✔ Licensed in CO · 3846
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.
240 W FRONT ST STE A, Port Angeles, WA 98362
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11026 E 1st StPort Angeles, WA 98362-4020 · Phone (360) 452-7891 · Fax (360) 452-8087
Location 2933 E 1st StPort Angeles, WA 98362-4012 · Phone (360) 452-7891 · Fax (360) 452-8087

Other Identifiers 5

Other2062367First Health
Medicaid100346290DKS
Other13089KS · Phs
Other651065KS · Bcbs
Other398580KS · Firstguard

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7911974282
PECOS Enrollment IDI20231125000252, I20250819005023
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.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
108 services108 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
67 services64 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
56 services56 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
42 services33 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
12 services12 patients

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.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

LAUREN KATE BALLOU ARNP
Nurse Practitioner (Family)
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
BENJAMIN ROBERT CURRAN MD
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
MIRA ROSE NELSON MD
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
BRIANNE HUFFSTETLER ROWAN M.D., M.P.H.
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
KATRINA C WELLER MD
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
DR. NED JACOB HAMMAR M.D.
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
FAMILY MEDICINE OF PORT ANGELES PLLC
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
KERRY E CALAVANO CNM
Advanced Practice Midwife
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Clallam County (360) 452-7891

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.

What insurance does Marilyn Holm accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska 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 28 days 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.