Provider Demographics
NPI:1003932278
Name:HOLLIN VISION CENTER, INC.
Entity Type:Organization
Organization Name:HOLLIN VISION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HOLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-673-5353
Mailing Address - Street 1:1817 LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1717
Mailing Address - Country:US
Mailing Address - Phone:412-673-5353
Mailing Address - Fax:412-673-5311
Practice Address - Street 1:1817 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15131-1717
Practice Address - Country:US
Practice Address - Phone:412-673-5353
Practice Address - Fax:412-673-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017444OtherUPMC
PA393354OtherNATIONAL VISION ADMINISTR
PAOP1557OtherEYEMED
PA221721OtherBLUE SHIELD
PAOP1557OtherEYEMED