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HOLLINGSHEAD EYE CENTER PC NPI 1871643585


NPI Information

NPI: 1871643585
Provider Name: HOLLINGSHEAD EYE CENTER, PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 13D2059932

Address:
360 E MALLARD DR
SUITE 110
BOISE, ID
ZIP 83706
Phone: (208) 336-8700
Get Directions

HOLLINGSHEAD EYE CENTER, PC is an ophthalmology in Boise, ID. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. HOLLINGSHEAD EYE CENTER, PC NPI is 1871643585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 E MALLARD DR
SUITE 110
BOISE, ID
ZIP 83706-644
Phone: (208) 336-8700
Fax: (208) 426-0902

The provider's authorized official is Louis M Pennow .
The authorized official title is Director and has the following contact phone number (208) 336-8700.

The CLIA number assigned to this NPI record is 13D2059932 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 6/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristODP100159IDAHONo
2207W00000XOphthalmologyM6436IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E78693MEDICARE UPINIDAHO
2805858500MEDICAIDIDAHO
31590033MEDICARE PINIDAHO
41377164MEDICARE ID-TYPE UNSPECIFIEDIDAHOMARK E HOLLINGSHEAD, M.D.
5805858400MEDICAIDIDAHO
6P00648093MEDICARE PINIDAHO
7180038517MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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