MEDICARE: BILLY WAYNE HILL, O.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OK1083	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410002358	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	731227583001	OTHER	OK	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	A002	OTHER	OK	CHAMPVA

General Provider Information

NPI Number	:	1427229699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLY WAYNE HILL, O.D., P.C.

Provider Business Mailing Address
First Line	:	205A WEST OKMULGEE
Second Line	:
City	:	CHECOTAH
State	:	OK
Zip	:	74426-2408
Country	:	US
Telephone Number	:	918-473-2308
Fax Number	:	918-473-2961

Provider Business Practice Location Address
First Line	:	205A WEST OKMULGEE
Second Line	:
City	:	CHECOTAH
State	:	OK
Zip	:	74426-2408
Country	:	US
Telephone Number	:	918-473-2308
Fax Number	:	918-473-2961

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. BILLY WAYNE HILL
Credential	:	O.D.
Telephone Number	:	918-473-2308

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	04/09/2013

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