=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275658247
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES EDWARD HILL OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2007
-----------------------------------------------------
Last Update Date | 06/03/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2001 LINCOLN WAY STE 240
-----------------------------------------------------
City | WHITE OAK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15131-2419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-673-1243
-----------------------------------------------------
Fax | 412-673-1129
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4318 NORTHERN PIKE SUITE 102
-----------------------------------------------------
City | MONROEVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15146-2823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-373-4433
-----------------------------------------------------
Fax | 412-373-4460
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 0E004679T
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------