Provider Demographics
NPI:1306840236
Name:HILOVSKY, JEFFREY P (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:P
Last Name:HILOVSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W MARKET ST
Mailing Address - Street 2:STE A
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2322
Mailing Address - Country:US
Mailing Address - Phone:302-856-2020
Mailing Address - Fax:302-856-4970
Practice Address - Street 1:502 W MARKET ST
Practice Address - Street 2:STE A
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2322
Practice Address - Country:US
Practice Address - Phone:302-856-2020
Practice Address - Fax:302-856-4970
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI3-0001208152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000525122Medicaid
DE0552745000OtherAMERIHEALTH
U42492Medicare UPIN
DE0924150001Medicare NSC
DE716144S30Medicare PIN
DE410024224Medicare PIN