Provider Demographics
NPI:1306904123
Name:SCOTT, ERIN HOLLOMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:HOLLOMAN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:HOLLOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16315 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8892
Mailing Address - Country:US
Mailing Address - Phone:405-521-0041
Mailing Address - Fax:405-521-1689
Practice Address - Street 1:16315 N MAY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8892
Practice Address - Country:US
Practice Address - Phone:405-521-0041
Practice Address - Fax:405-521-1689
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23909207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200093170AMedicaid
OK243516701Medicare PIN
OK200093170AMedicaid