Provider Demographics
NPI:1952475790
Name:HILL, SARAH ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 LAKE ELMO DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3037
Mailing Address - Country:US
Mailing Address - Phone:406-252-9927
Mailing Address - Fax:406-252-6567
Practice Address - Street 1:430 LAKE ELMO DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3037
Practice Address - Country:US
Practice Address - Phone:406-252-9927
Practice Address - Fax:406-252-6567
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT781152W00000X
FLOFC26152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTP00468952OtherRAILROAD MEDICARE
MT1952415790Medicaid
MT0445350001Medicare NSC
MTP00468952OtherRAILROAD MEDICARE