IndividualActive
Mark Hollingshead, M.D.
NPI 1689670911 · Ophthalmology Physician · Boise, ID
Provider details
- NPI number
- 1689670911
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M6436 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
360 E Mallard Dr
Ste 110
Boise, ID 83706-3945
Phone: (208) 336-8700
Fax: (208) 426-0902
Approximate (ZIP-level) locationGet directions
Mailing address
360 E Mallard Dr
Boise, ID 83706-3945
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2008-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.