Provider Demographics
NPI:1376004184
Name:DR KENT B HILL OPTOMETRIST PC
Entity type:Organization
Organization Name:DR KENT B HILL OPTOMETRIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNURR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:636-583-3322
Mailing Address - Street 1:507 S LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-2121
Mailing Address - Country:US
Mailing Address - Phone:636-583-3322
Mailing Address - Fax:636-583-8328
Practice Address - Street 1:531 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65066-1410
Practice Address - Country:US
Practice Address - Phone:573-437-8004
Practice Address - Fax:573-437-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center