Provider Demographics
NPI:1013784420
Name:GABRIELLE HINTON OD LLC
Entity Type:Organization
Organization Name:GABRIELLE HINTON OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:772-925-9921
Mailing Address - Street 1:5010 21ST ST SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-9461
Mailing Address - Country:US
Mailing Address - Phone:772-925-9921
Mailing Address - Fax:
Practice Address - Street 1:792 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-4701
Practice Address - Country:US
Practice Address - Phone:772-925-9921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty