MEDICARE: DR. ROBERT H HILL III M.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	207W00000X	Ophthalmology Physician	35094389	OH
2	207W00000X	Ophthalmology Physician	264294	NY
3	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	264294	NY

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	:	1891951455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT H HILL III M.D.

Provider Business Mailing Address
First Line	:	5000 BRITTONFIELD PKWY
Second Line	:	PO BOX 2000
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-9226
Country	:	US
Telephone Number	:	315-422-3937
Fax Number	:	315-422-3999

Provider Business Practice Location Address
First Line	:	3400 VICKERY RD
Second Line	:	SUITE A
City	:	SYRACUSE
State	:	NY
Zip	:	13212-4540
Country	:	US
Telephone Number	:	315-422-3937
Fax Number	:

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

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	05/14/2016

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