Provider Demographics
NPI:1588777163
Name:DAVID S HILL, O.D., P.A.
Entity type:Organization
Organization Name:DAVID S HILL, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-524-6411
Mailing Address - Street 1:9 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-6253
Mailing Address - Country:US
Mailing Address - Phone:828-524-6411
Mailing Address - Fax:828-369-2109
Practice Address - Street 1:9 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-6253
Practice Address - Country:US
Practice Address - Phone:828-524-6411
Practice Address - Fax:828-369-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1191152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0258630001OtherMEDICARE DME
NC09426OtherBCBS OF NC
NC8909394Medicaid
NC8909394Medicaid
NC2467263Medicare ID - Type Unspecified