MR. DEMENTRE HOLMES OPTICIAN
NPI 1821419979
Technician/Technologist - Optician in Glendale, AZ

Q: What is Dementre Holmes's NPI number?

The NPI number for Dementre Holmes is 1821419979. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Q: What is Dementre Holmes's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Q: When was this NPI record last updated?

The NPPES record for Dementre Holmes was last updated on May 3, 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.

Active since December 16, 2013

11409 N 58TH DR, GLENDALE, AZ 85304(480) 577-7096(800) 869-4964 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2021, Mar 8, 2018 (2 updates tracked since 2018).

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About Mr. Dementre Holmes Optician NPPES

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

MR. DEMENTRE HOLMES OPTICIAN (NPI 1821419979) is an individual optician in Glendale, Arizona, licensed in Arizona (2447I) and active in the NPI registry since December 2013. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1821419979

Entity TypeIndividualMale

Primary Taxonomy156FX1800X

Provider Legal NameMR. DEMENTRE HOLMESCredential: OPTICIAN

Location Address11409 N 58TH DRGlendale, AZ 85304-3312

Mailing Address11409 N 58th DrGlendale, AZ 85304-3312 · (480) 577-7096 · Fax (800) 869-4964

Phone(480) 577-7096

Fax(800) 869-4964

Sole ProprietorYes

Enumeration DateDecember 16, 2013

Last NPPES UpdateMay 3, 20212 updates tracked since enumeration

NPPES CertifiedMay 3, 2021

✔ NPI 1821419979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

License✔ Licensed in AZ · 2447I

Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

11409 N 58TH DR, Glendale, AZ 85304

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Secondary Practice Location 1

Location 1600 W Dunlap AvePhoenix, AZ 85021-3527 · Phone (480) 577-7096 · Fax (800) 869-4964

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 Dementre Holmes's NPI number?

The NPI number for Dementre Holmes is 1821419979. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Dementre Holmes located?

Dementre Holmes practices at 11409 N 58th Dr, Glendale, AZ 85304. The listed phone number is (480) 577-7096.

What is Dementre Holmes's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Dementre Holmes was last updated on May 3, 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.