Provider Demographics
NPI:1073776670
Name:HILL'S ARIZONA OPTICAL P.C.
Entity Type:Organization
Organization Name:HILL'S ARIZONA OPTICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:520-281-0160
Mailing Address - Street 1:1860 N STATE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-2457
Mailing Address - Country:US
Mailing Address - Phone:520-281-0160
Mailing Address - Fax:520-281-1254
Practice Address - Street 1:1860 N STATE DR STE 5
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-2457
Practice Address - Country:US
Practice Address - Phone:520-281-0160
Practice Address - Fax:520-281-1254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ686E156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty