Provider Demographics
NPI:1225183577
Name:PYKE, HILLARY JILL (OD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:JILL
Last Name:PYKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:HOGANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13655-0505
Mailing Address - Country:US
Mailing Address - Phone:518-358-6075
Mailing Address - Fax:518-358-6078
Practice Address - Street 1:997 STATE RTE 37
Practice Address - Street 2:
Practice Address - City:HOGANSBURG
Practice Address - State:NY
Practice Address - Zip Code:13655
Practice Address - Country:US
Practice Address - Phone:518-358-6075
Practice Address - Fax:518-358-6078
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006205-01152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY820552036OtherIRONWORKERS OF WESTERN NY
NY42093OtherDAVIS VISION
NY508OtherDAVIS VISION CSEA
NY82-0552036OtherPEQUOT PHARMACEUTICAL
NY146006OtherEYEMED
NY82-0552036OtherBLUE CROSS BLUE SHIELD
NY82-0552036OtherSUPERIOR VISION
NY820552036OtherMVP
NY02385293Medicaid
NY82-0552036OtherVSP
NY820552036OtherRMSCO INS.
NY508OtherDAVIS VISION CSEA
NY82-0552036OtherBLUE CROSS BLUE SHIELD