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

Individual provider Optician · NPI 1821419979

Mr. Dementre Holmes, OPTICIAN is an Optician in Glendale, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2013
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Practice location Address checks out

11409 N 58th Dr
Glendale, AZ 85304-3312
Phone: (480) 577-7096
Fax: (800) 869-4964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W Dunlap Ave, Phoenix, AZ 85021-3527 — (480) 577-7096

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 2447I (AZ)

Record details

NPI number1821419979
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedDecember 16, 2013
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

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