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Javen Delano Holm, OD

NPI 1285630632ActiveIndividual· Optometrist· Fairmont, MN

Optometrist (OD) in Fairmont, Minnesota, licensed in MN, with an NPI issued in June 2005.

Overview

NPI1285630632
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorNo
NPI issuedJun 21, 2005
Last updated in NPPESApr 5, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XMN2192MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in Fairmont

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