HOLLINGSHEAD EYE CENTER, PC
NPI 1871643585
Ophthalmology in Boise, ID
About Hollingshead Eye Center, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLINGSHEAD EYE CENTER, PC (NPI 1871643585) is a healthcare organization registered as an ophthalmology in Boise, Idaho and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Louis M Pennow, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hollingshead Eye Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by January 31, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Hollingshead Eye Center, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Boise, ID 83706
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2059932
Hollingshead Eye Center PC · Boise, IDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hollingshead Eye Center, PC's NPI number?
The NPI number for Hollingshead Eye Center, PC is 1871643585. It was assigned to this organization in the NPPES registry on January 12, 2007.
Where is Hollingshead Eye Center, PC located?
Hollingshead Eye Center, PC is located at 360 E Mallard Dr Suite 110, Boise, ID 83706. The listed phone number is (208) 336-8700.
What is Hollingshead Eye Center, PC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Hollingshead Eye Center, PC enrolled in Medicare?
Yes. Hollingshead Eye Center, PC is registered in the Medicare PECOS enrollment system.
When is Hollingshead Eye Center, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Hollingshead Eye Center, PC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hollingshead Eye Center, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Hollingshead Eye Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (3). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hollingshead Eye Center, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2059932) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hollingshead Eye Center, PC accept?
Health plans from Moda Health Plan, Inc. list Hollingshead Eye Center, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hollingshead Eye Center, PC was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hollingshead Eye Center, Pc · NPI 1871643585
Ophthalmology organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1871643585 (Entity type: Organization)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Louis Pennow, DIRECTOR
## Practice location
- **Address:** 360 E MALLARD DR, SUITE 110, Boise, ID 83706-6644
- **Phone:** (208) 336-8700 · **Fax:** (208) 426-0902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (3); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2010
- **Other identifiers:** Medicare UPIN E78693 (ID); Medicaid 805858500 (ID); Medicare PIN 1590033 (ID); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871643585) · Data from the CMS NPPES public registry.