Holly Vision Source

Optometrist · Holly, MI

Organization Active NPI

NPI number 1881012011

Practice location

1121 N Saginaw St
1
Holly, MI 48442-1380
Phone
(810) 659-3135

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NPI record

NPI
1881012011
Entity type
Organization (Type 2)
Enumeration date
April 4, 2014
Last updated
April 4, 2014
Organization subpart
Yes
Parent organization
Flushing Vision Clinic, LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

1379 Flushing Rd
Flushing, MI 48433-2262
Phone
(810) 659-3135

Authorized official

Name
Ms. Rebecca Wallace
Title
Office Manager
Phone
(810) 659-3135

About Holly Vision Source

Holly Vision Source is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1121 N Saginaw St, 1, Holly, MI 48442-1380. The NPI number 1881012011 was assigned on April 4, 2014 and the record was last updated on April 4, 2014.

The authorized official for this organization is Ms. Rebecca Wallace, Office Manager.

Frequently asked questions

What is the NPI number of Holly Vision Source?

The NPI number is 1881012011.

What is the phone number of Holly Vision Source?

The phone number listed for the practice location is (810) 659-3135.

Where is Holly Vision Source located?

1121 N Saginaw St, 1, Holly, MI 48442-1380.

What is the taxonomy code for Holly Vision Source?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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