MEDICARE: DR. BILLY WAYNE HILL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1083	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	410002358	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0170540001	OTHER	OK	DMERC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	A002	OTHER	OK	CHAMPVA
5	731227583001	OTHER	OK	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1669454856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILLY WAYNE HILL O.D.

Provider Business Mailing Address
First Line	:	205A WEST OKMULGEE
Second Line	:
City	:	CHECOTAH
State	:	OK
Zip	:	74426-2408
Country	:	US
Telephone Number	:	918-473-2308
Fax Number	:	918-473-2961

Provider Business Practice Location Address
First Line	:	205A WEST OKMULGEE
Second Line	:
City	:	CHECOTAH
State	:	OK
Zip	:	74426-2408
Country	:	US
Telephone Number	:	918-473-2308
Fax Number	:	918-473-2961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	03/27/2014

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