Dr Justin E Sandholm, OD in Apo, AP - Medicare Optometrist Provider

Dr Justin E Sandholm, OD is a medicare enrolled "Optometrist" provider in Apo, Armed Forces Pacific. His current practice location is 35 Hcos/cc, Psc 76 Unit 5024, Apo, Armed Forces Pacific. You can reach out to his office (for appointments etc.) via phone at (071) 677-6269.

Dr Justin E Sandholm is licensed to practice in California (license number 11738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023161791.

Contact Information

	Dr Justin E Sandholm, OD
	35 Hcos/cc, Psc 76 Unit 5024, Apo, AP 96319-5024
	(071) 677-6269
	Not Available

Healthcare Provider's Profile

Full Name	Dr Justin E Sandholm
Gender	Male
Speciality	Optometrist
Location	35 Hcos/cc, Apo, Armed Forces Pacific
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023161791
Provider Enumeration Date: 01/18/2007
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0244293587
Enrollment ID: I20140725000518

Medical Identifiers

Medical identifiers for Dr Justin E Sandholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023161791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	11738 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin E Sandholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Justin E Sandholm, OD 35 Hcos/cc, Psc 76 Unit 5024, Apo, AP 96319-5024 Ph: (071) 677-6269	Dr Justin E Sandholm, OD 35 Hcos/cc, Psc 76 Unit 5024, Apo, AP 96319-5024 Ph: (071) 677-6269

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Dr Justin E Sandholm, OD - Medicare Optometrist in Apo, AP