MEDICARE: JANIS LYNN HOLT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	50630	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285667030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANIS LYNN HOLT M.D.

Provider Business Mailing Address
First Line	:	4528 CHAPMAN HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-4359
Country	:	US
Telephone Number	:	865-579-3920
Fax Number	:	865-579-3918

Provider Business Practice Location Address
First Line	:	3001 W ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3614
Country	:	US
Telephone Number	:	423-581-0360
Fax Number	:	423-585-4244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	04/09/2026

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