=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306056072
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM D HITT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2007
-----------------------------------------------------
Last Update Date | 09/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 DOCTORS PARK
-----------------------------------------------------
City | LINCOLNTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28092-4406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-735-8512
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 DOCTORS PARK
-----------------------------------------------------
City | LINCOLNTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28092-4406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-735-8512
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. WILLIAM D HITT
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 704-735-8512
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 1431
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------