Holly Vision Source

NPI #1881012011 in Holly, Michigan

Provider Information

NPI Number: 1881012011
Entity Type: Organization
Organization Name: Holly Vision Source
Subpart: Yes (part of a larger organization)
Parent Organization: FLUSHING VISION CLINIC, LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 4, 2014
Last Updated: Apr 4, 2014

Practice Location

Address: 1121 N SAGINAW ST
Address 2: 1
City: Holly
State: Michigan
ZIP Code: 48442-1380
Phone: (810) 659-3135

Authorized Official

Name: MS. REBECCA WALLACE
Title: OFFICE MANAGER
Phone: (810) 659-3135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Holly Vision Clinic PC	Optometrist	Holly	AI Deep Dive

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