Hollingshead Eye Center, Pc
LBN: Hollingshead Eye Center, Pc
Hollingshead Eye Center, Pc is an health care organization with primary practice located at 360 E Mallard Dr Suite 110, Boise ID 83706-6644. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Hollingshead Eye Center, Pc can be contacted via phone (208) 336-8700, or through Pennow, Louis M via phone (208) 336-8700.
Contact Information
Primary practice address
360 E Mallard Dr Suite 110
Boise ID 83706-6644
Phone: (208) 336-8700
Fax: (208) 426-0902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP100159 | Idaho |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M6436 | Idaho |
Profile Details
| NPI number | 1871643585 |
|---|---|
| LBN Legal business name | Hollingshead Eye Center, Pc |
| DBA Doing business as | |
| Authorized official | Pennow, Louis M MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jun 29th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871643585 | NPPES |
| Idaho | MEDICAID | 805858400 | |
| Idaho | MEDICAID | 805858500 |
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