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NPI Code Detail

MEDICARE: BRANDON CHASE HOLLIMAN OD

MEDICARE:   BRANDON CHASE HOLLIMAN  OD
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
1152W00000XOptometrist3974TN

General Provider Information

NPI Number : 1558214155
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON CHASE HOLLIMAN OD
Provider Business Mailing Address
First Line : 1203 N EASTMAN RD
Second Line :
City : KINGSPORT
State : TN
Zip : 37664-3145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1203 N EASTMAN RD
Second Line :
City : KINGSPORT
State : TN
Zip : 37664-3145
Country : US
Telephone Number : 423-247-3321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ BRANDON CHASE HOLLIMAN OD” Practice Location

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