Provider Demographics
NPI:1831446038
Name:JOHN E HILKE OD LLC
Entity type:Organization
Organization Name:JOHN E HILKE OD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIC PHYSICIAN/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-359-7200
Mailing Address - Street 1:601 ROUTE 206
Mailing Address - Street 2:UNIT 36
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 ROUTE 206
Practice Address - Street 2:UNIT 36
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1521
Practice Address - Country:US
Practice Address - Phone:908-359-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ OA0058100261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty