Healthcare Provider Details

I. General information

NPI: 1003932278
Provider Name (Legal Business Name): HOLLIN VISION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 LINCOLN WAY
MCKEESPORT PA
15131-1717
US

IV. Provider business mailing address

1817 LINCOLN WAY
WHITE OAK PA
15131-1717
US

V. Phone/Fax

Practice location:
  • Phone: 412-673-5353
  • Fax: 412-673-5311
Mailing address:
  • Phone: 412-673-5353
  • Fax: 412-673-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. DENNIS ANDREW HOLLIN
Title or Position: PRESIDENT
Credential:
Phone: 412-673-5353