Provider Demographics
NPI:1497811467
Name:HILLSTEAD, ROBERT D (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:HILLSTEAD
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 1:840 PINNACLE CT STE 10A
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-3304
Mailing Address - Country:US
Mailing Address - Phone:702-346-1994
Mailing Address - Fax:702-346-2056
Practice Address - Street 1:840 PINNACLE CT STE 10A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-3304
Practice Address - Country:US
Practice Address - Phone:702-346-1994
Practice Address - Fax:702-346-2056
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist