Holly Vision Source

Holly Vision Source is a healthcare organization registered as Optometrist in Holly, MI, holding Type 2 (organization) NPI 1881012011 since 2014. The authorized official on file is Rebecca Wallace, Office Manager.

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NPI	1881012011
Entity type	Organization (Type 2)
Legal business name	Holly Vision Source
Parent organization	Flushing Vision Clinic, LLC
Practice address	1121 N SAGINAW ST, 1, Holly, MI, 48442
Phone	8106593135
Enumeration date	2014-04-04
Last updated in NPPES	2014-04-04

Authorized official

Name	Rebecca Wallace
Title	Office Manager
Phone	8106593135

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	—	—

Copy-ready billing details

Provider: Holly Vision Source
NPI: 1881012011
Taxonomy: 152W00000X (Optometrist)
Address: 1121 N SAGINAW ST, 1, Holly, MI, 48442

Providers at this address

NPI	Name	Type	Specialty	Location
1346213360	Shawn Devary	Individual	Chiropractor	Holly, MI
1689623530	William Boggs P.C.	Organization	Chiropractor	Holly, MI
1518905058	Valdimir Boggs	Individual	Chiropractor	Holly, MI
1689770224	Devary Chiropractic Wellness Center	Organization	Chiropractor	Holly, MI
1871812628	Premier Medical and Rehabilitation Group	Organization	General Practice Physician	Holly, MI

Verify this record

Cross-check NPI 1881012011 against the authoritative CMS record: view Holly Vision Source on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-04-04. Verify at npiregistry.cms.hhs.gov.

Where is Holly Vision Source located?

The practice location on file with NPPES is in Holly, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-04-04.