Provider Demographics
NPI:1407058498
Name:DOLAN, HILLARY JANE (OD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:JANE
Last Name:DOLAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HILLARY
Other - Middle Name:JANE
Other - Last Name:MULTARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4102 N ROXBORO ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2122
Mailing Address - Country:US
Mailing Address - Phone:919-595-2106
Mailing Address - Fax:919-595-2190
Practice Address - Street 1:7020 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6430
Practice Address - Country:US
Practice Address - Phone:919-847-5957
Practice Address - Fax:919-676-2231
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2162152W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
157H2OtherBCBS OF NC
NC5914242Medicaid
P01295025OtherRAILROAD MEDICARE
NC5311BMedicare PIN
NC5311DMedicare PIN
NC5367EMedicare PIN
NC5311EMedicare PIN
NC5311GMedicare PIN
NC5367AMedicare PIN
P01295025OtherRAILROAD MEDICARE
NC5311FMedicare PIN
157H2OtherBCBS OF NC
NC5311CMedicare PIN