MEDICARE: DR. JOHN LEE 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	348	AZ

General Provider Information

NPI Number	:	1932271012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN LEE HILL O.D.

Provider Business Mailing Address
First Line	:	5658 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-5525
Country	:	US
Telephone Number	:	520-748-1415
Fax Number	:	520-748-7656

Provider Business Practice Location Address
First Line	:	5658 E 22ND ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-5525
Country	:	US
Telephone Number	:	520-748-1415
Fax Number	:	520-748-7656

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	11/10/2008

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