Provider Demographics
NPI:1487928602
Name:EMILY HOLLINGSWORTH, OD PA
Entity type:Organization
Organization Name:EMILY HOLLINGSWORTH, OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-200-7122
Mailing Address - Street 1:11220 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4102
Mailing Address - Country:US
Mailing Address - Phone:469-200-7122
Mailing Address - Fax:469-200-7123
Practice Address - Street 1:11220 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4102
Practice Address - Country:US
Practice Address - Phone:469-200-7122
Practice Address - Fax:469-200-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7671T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty