Healthcare Provider Details

I. General information

NPI: 1538775051
Provider Name (Legal Business Name): THE HILLS EYECARE AND OPTICAL PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31815 SOUTHFIELD RD STE 12
BEVERLY HILLS MI
48025-5471
US

IV. Provider business mailing address

31815 SOUTHFIELD RD STE 12
BEVERLY HILLS MI
48025-5471
US

V. Phone/Fax

Practice location:
  • Phone: 248-220-6438
  • Fax:
Mailing address:
  • Phone: 248-220-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY HEAD
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 248-225-8161