Provider Demographics
NPI:1831110998
Name:HITT, ROBERT DOYLE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOYLE
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 1:126 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-8587
Mailing Address - Country:US
Mailing Address - Phone:704-732-5763
Mailing Address - Fax:704-735-0498
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?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89093HXMedicaid
NCU60642Medicare UPIN
NC2471862Medicare ID - Type Unspecified