Provider Demographics
NPI:1073702841
Name:ROBERT D. HILLSTEAD, INC
Entity Type:Organization
Organization Name:ROBERT D. HILLSTEAD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILLSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-346-1994
Mailing Address - Street 1:840 PINNACLE CT STE 10A
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-3304
Mailing Address - Country:US
Mailing Address - Phone:702-346-1994
Mailing Address - Fax:702-346-2056
Practice Address - Street 1:840 PINNACLE CT STE 10A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-3304
Practice Address - Country:US
Practice Address - Phone:702-346-1994
Practice Address - Fax:702-346-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty