Provider Demographics
NPI:1144328212
Name:HOLLANDS, GILLIAN (OD)
Entity type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:
Last Name:HOLLANDS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 IYANNOUGH RD # N101F
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:769 ROUTE 132 #97
Practice Address - Street 2:CAPE COD MALL
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-4631
Practice Address - Fax:508-778-7614
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001373152W00000X
CA14127152W00000X
MA4346152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist