Provider Demographics
NPI:1164651980
Name:HANCE, BILL B (LDO)
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:B
Last Name:HANCE
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 CORNELL RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2273
Mailing Address - Country:US
Mailing Address - Phone:513-489-4000
Mailing Address - Fax:513-530-0473
Practice Address - Street 1:8211 CORNELL RD
Practice Address - Street 2:SUITE 510
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2273
Practice Address - Country:US
Practice Address - Phone:513-489-4000
Practice Address - Fax:513-530-0473
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS5052156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician