Provider Demographics
NPI:1710033204
Name:HITT, WILLIAM DENVER (OD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DENVER
Last Name:HITT
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 1:110 DOCTORS PARK
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4406
Mailing Address - Country:US
Mailing Address - Phone:704-732-3805
Mailing Address - Fax:
Practice Address - Street 1:110 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4406
Practice Address - Country:US
Practice Address - Phone:704-735-8512
Practice Address - Fax:704-735-0498
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1431152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890902PMedicaid
NCU33749Medicare UPIN
NC890902PMedicaid
NC0924980001Medicare NSC