Provider Demographics
NPI:1790841393
Name:HILL, HAL E JR (OD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:E
Last Name:HILL
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:111 COLONY CROSSING WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7778
Mailing Address - Country:US
Mailing Address - Phone:601-605-4402
Mailing Address - Fax:601-605-4457
Practice Address - Street 1:111 COLONY CROSSING WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-7778
Practice Address - Country:US
Practice Address - Phone:601-605-4402
Practice Address - Fax:601-605-4457
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-10-10
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Provider Licenses
StateLicense IDTaxonomies
MS523152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist