Provider Demographics
NPI:1164527586
Name:HILL-MOORE, REBECCA CLAIRE (OD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:CLAIRE
Last Name:HILL-MOORE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 SUDBURY DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1126
Mailing Address - Country:US
Mailing Address - Phone:561-963-7533
Mailing Address - Fax:561-735-9359
Practice Address - Street 1:2244 N CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8604
Practice Address - Country:US
Practice Address - Phone:561-739-0111
Practice Address - Fax:561-735-9359
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2673152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001861700Medicaid