Provider Demographics
NPI:1194610915
Name:HOLLENBAUGH, PATRICIA NICOL
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:NICOL
Last Name:HOLLENBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WHITTIER HTS
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-4512
Mailing Address - Country:US
Mailing Address - Phone:240-818-2379
Mailing Address - Fax:
Practice Address - Street 1:12751 WASHINGTON TOWNSHIP BLVD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-8502
Practice Address - Country:US
Practice Address - Phone:717-762-3940
Practice Address - Fax:717-762-5205
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician