MEDICARE: DR. DAVID JOSEPH HILL O.D.

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	T5538	CA

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	:	1861503344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH HILL O.D.

Provider Business Mailing Address
First Line	:	18403 MOUNT CHERIE CIR
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-6837
Country	:	US
Telephone Number	:	626-919-4821
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 LAKES DR
Second Line	:	SUITE 180
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2900
Country	:	US
Telephone Number	:	626-919-4821
Fax Number	:	626-917-8439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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