Provider Demographics
NPI:1598656365
Name:HOLZMAN, KAILEY (OD)
Entity type:Individual
Prefix:DR
First Name:KAILEY
Middle Name:
Last Name:HOLZMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 W 110TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1892
Mailing Address - Country:US
Mailing Address - Phone:877-674-1211
Mailing Address - Fax:
Practice Address - Street 1:13558 JASON LEE DR
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2840
Practice Address - Country:US
Practice Address - Phone:630-383-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORATI4788152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist