MEDICARE: STEVEN H HILZ OD A PROFESSIONAL CORP

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	8491T	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	:	1912970369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN H HILZ OD A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	136 W NUEVO RD
Second Line	:	STE E & F
City	:	PERRIS
State	:	CA
Zip	:	92571
Country	:	US
Telephone Number	:	951-943-4949
Fax Number	:	951-943-1067

Provider Business Practice Location Address
First Line	:	136 W NUEVO RD
Second Line	:	STE E & F
City	:	PERRIS
State	:	CA
Zip	:	92571
Country	:	US
Telephone Number	:	951-943-4949
Fax Number	:	951-943-1067

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN H HILZ
Credential	:	OD
Telephone Number	:	951-943-4949

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/07/2013

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