Provider Demographics
NPI:1275658247
Name:HILL, JAMES EDWARD (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:HILL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4318 NORTHERN PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2823
Mailing Address - Country:US
Mailing Address - Phone:412-373-4433
Mailing Address - Fax:412-373-4460
Practice Address - Street 1:2001 LINCOLN WAY STE 240
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2419
Practice Address - Country:US
Practice Address - Phone:412-673-1243
Practice Address - Fax:412-673-1129
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0E004679T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1610677005Medicaid
T28209Medicare UPIN
PA1610677005Medicaid