Healthcare Provider Details

I. General information

NPI: 1699865329
Provider Name (Legal Business Name): JULIE E HILL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 PATRIOT DR STE E
WELLINGTON OH
44090-8951
US

IV. Provider business mailing address

805 PATRIOT DR STE E
WELLINGTON OH
44090-8951
US

V. Phone/Fax

Practice location:
  • Phone: 440-647-5700
  • Fax: 440-647-5703
Mailing address:
  • Phone: 440-864-0037
  • Fax: 440-647-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5477
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: