Provider Demographics
NPI:1831707553
Name:KARAH HILL HIATT OD PLLC
Entity type:Organization
Organization Name:KARAH HILL HIATT OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-264-6688
Mailing Address - Street 1:102 N 38TH AVE STE I
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-6700
Mailing Address - Country:US
Mailing Address - Phone:601-264-6688
Mailing Address - Fax:601-264-3393
Practice Address - Street 1:102 N 38TH AVE STE I
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-6700
Practice Address - Country:US
Practice Address - Phone:601-264-6688
Practice Address - Fax:601-264-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty