Healthcare Provider Details

I. General information

NPI: 1679015028
Provider Name (Legal Business Name): DR HILL EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8230 ROCKVILLE RD
INDIANAPOLIS IN
46214-3113
US

IV. Provider business mailing address

8230 ROCKVILLE RD
INDIANAPOLIS IN
46214-3113
US

V. Phone/Fax

Practice location:
  • Phone: 317-273-9000
  • Fax: 317-273-9001
Mailing address:
  • Phone: 317-273-9000
  • Fax: 317-273-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number18002485A
License Number StateIN

VIII. Authorized Official

Name: DR. STEPHEN RICHARD HILL
Title or Position: OWNER
Credential: O.D.
Phone: 317-273-9000