MEDICARE: DR HILL EYE CARE

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	261QH0100X	Health Service Clinic/Center	18002485A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679015028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR HILL EYE CARE

Provider Business Mailing Address
First Line	:	8230 ROCKVILLE RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-3113
Country	:	US
Telephone Number	:	317-273-9000
Fax Number	:	317-273-9001

Provider Business Practice Location Address
First Line	:	8230 ROCKVILLE RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-3113
Country	:	US
Telephone Number	:	317-273-9000
Fax Number	:	317-273-9001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHEN RICHARD HILL
Credential	:	O.D.
Telephone Number	:	317-273-9000

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	11/15/2016

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