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LISA JO HOLTMAN
NPI 1710407622
Optometrist in Woodbury, MN

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
755 BIELENBERG DR STE 103, WOODBURY, MN 55125(651) 504-5901(651) 504-5902 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Aug 17, 2020, Jun 21, 2017 (3 updates tracked since 2017).

About Lisa Jo Holtman NPPES

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

LISA JO HOLTMAN (NPI 1710407622) is an individual optometrist in Woodbury, Minnesota, licensed in Minnesota (3691) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710407622
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLISA JO HOLTMAN
Location Address755 BIELENBERG DR STE 103Woodbury, MN 55125-4443
Mailing Address1004 County Road 42 EBurnsville, MN 55337-4652 · (952) 894-1400 · Fax (952) 808-2216
Phone(651) 504-5901
Fax(651) 504-5902
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1710407622 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 MN · 3691✔ Licensed in NH · 948
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.
755 BIELENBERG DR STE 103, Woodbury, MN 55125
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117690 Kenwood TrlLakeville, MN 55044-9764 · Phone (952) 898-9588 · Fax (952) 898-2030
Location 21004 County Road 42 EBurnsville, MN 55337-4652 · Phone (952) 894-1400 · Fax (952) 808-2216

Accepted Insurance

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

Lisa Jo Holtman 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 ID2668744715
PECOS Enrollment IDI20200916002987
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 55125 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANTAGE POINT EYES PLLC
Optometrist
755 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (651) 504-5901

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 Lisa Holtman's NPI number?

The NPI number for Lisa Holtman is 1710407622. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Lisa Holtman located?

Lisa Holtman practices at 755 Bielenberg Dr Ste 103, Woodbury, MN 55125. The listed phone number is (651) 504-5901.

What is Lisa Holtman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lisa Holtman enrolled in Medicare?

Yes. Lisa Holtman 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 Lisa Holtman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Lisa Holtman 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 Lisa Holtman was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.