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HOLLINGSHEAD EYE CENTER, PC
NPI 1871643585
Ophthalmology in Boise, ID

Active since January 12, 2007CLIA 13D2059932 · Waiver
360 E MALLARD DR, SUITE 110, BOISE, ID 83706(208) 336-8700(208) 426-0902 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1871643585
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameHOLLINGSHEAD EYE CENTER, PC
Location Address360 E MALLARD DR, SUITE 110Boise, ID 83706-6644
Mailing Address360 E Mallard Dr, Suite 110Boise, ID 83706-6644 · (208) 336-8700 · Fax (208) 426-0902
Phone(208) 336-8700
Fax(208) 426-0902
Organization SubpartNo
Authorized OfficialLouis M PennowDirector · (208) 336-8700
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJune 29, 2010
✔ NPI 1871643585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ID · M6436
Definition

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.

Also ListedOptometristTaxonomy 152W00000X · License ODP100159 (ID)
360 E MALLARD DR, Boise, ID 83706
Open in Google Maps ↗

Other Identifiers 7

Medicare UPINE78693ID
Medicaid805858500ID
Medicare PIN1590033ID
Medicare ID-Type Unspecified1377164ID · Mark E Hollingshead, M.d.
Medicaid805858400ID
Medicare PINP00648093ID
Medicare PIN180038517ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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, ID
Active · expires Jun 3, 2027
CLIA Number13D2059932
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorMark E. Hollingshead
Laboratory Phone(208) 336-8700
Laboratory LocationHollingshead Eye Center PC360 E Mallard Dr #110, Boise, ID 83706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA M EVANS CRNA
Nurse Anesthetist, Certified Registered
360 E MALLARD DR, SUITE 125
BOISE, ID 83706
Ada County (208) 336-8700
SURGICARE CENTER OF IDAHO, LLC
Clinic/Center (Ambulatory Surgical)
360 E MALLARD DR, STE 125
BOISE, ID 83706
Ada County (208) 336-8700
MRS. CHRISTI ALISE CAMPBELL RN
Registered Nurse (Ophthalmic)
360 E MALLARD DR, #110
BOISE, ID 83706
Ada County (208) 386-3306
MARK E HOLLINGSHEAD M.D.
Ophthalmology
360 E MALLARD DR, STE 110
BOISE, ID 83706
Ada County (208) 336-8700
BRIAN J MCNEEL O.D.
Optometrist
360 E MALLARD DR, STE 110
BOISE, ID 83706
Ada County (208) 336-8700
RYAN THOMAS BARRETT MD
Ophthalmology
360 E MALLARD DR, STE 110
BOISE, ID 83706
Ada County (208) 336-8700

Frequently 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.

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 with the weekly NPPES data releases published by CMS.