Organization Name: | HILL'S ARIZONA OPTICAL P.C. |
NPI Number: | 1073776670 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L. HILL (OPTICIAN) |
Mailing Address: | 1860 N State Dr Ste 5 Nogales |
State: | AZ US |
Postal Code: | 856212457 |
Phone Number: | 5202810160 |
Fax Number: | 5202811254 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 686E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |