Provider Demographics
NPI:1528041415
Name:HILL, WILLIAM ANTHONY (RN, OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:HILL
Suffix:
Gender:M
Credentials:RN, OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-0191
Mailing Address - Country:US
Mailing Address - Phone:312-237-0439
Mailing Address - Fax:305-422-7797
Practice Address - Street 1:47149 BUSE RD BLDG 1370
Practice Address - Street 2:
Practice Address - City:PATUXENT RIVER
Practice Address - State:MD
Practice Address - Zip Code:20670-1540
Practice Address - Country:US
Practice Address - Phone:312-237-0439
Practice Address - Fax:301-342-0729
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR241160163W00000X
MDTA2707152W00000X
TX5727TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No163W00000XNursing Service ProvidersRegistered Nurse