Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Jo Holtman

Individual provider Optometrist · NPI 1710407622

Lisa Jo Holtman is an Optometry in Woodbury, Minnesota. Qualified in 2017, 9 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and New Hampshire.

Years since qualifying
9
Licensed in
MN, NH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

755 Bielenberg Dr Ste 103
Woodbury, MN 55125-4443
Phone: (651) 504-5901
Fax: (651) 504-5902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1004 County Road 42 E, Burnsville, MN 55337-4652 — (952) 894-1400
  • 17690 Kenwood Trl, Lakeville, MN 55044-9764 — (952) 898-9588

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3691 (MN)
Optometrist Taxonomy 152W00000X · Licence 948 (NH)

Record details

NPI number1710407622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address1004 County Road 42 E, Burnsville, MN 55337-4652

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodbury