Organization Active NPI

Hill Family Eye Center, Inc

  • Optometrist
  • Booneville, MS
National Provider Identifier
1205086691
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HILL FAMILY EYE CENTER, INC
Practice address
108 S Main St
Booneville, MS 38829-3311
Phone
(662) 720-1910
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Tate Hill, O.D.NPI 1033302765
Title
Optometrist
Phone
(662) 720-1910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

108 S Main St
Booneville, MS 38829-3311

Mailing address

108 S Main St
Booneville, MS 38829-3311
Phone (662) 720-1910

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherMSMEDICARE PENDING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081013000256 MS Part B Supplier - Clinic/Group Practice 0446328819 Receives reassigned benefits from 1 practitioner
Practice locations: Booneville, MS
O20100930007370 MS DME Supplier - Physician - OptometristDME Supplier - Optician 0446328819 Practice locations: Booneville, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hill Family Eye Center Inc108 South Main Street, Booneville, MS 38829(662) 720-1910 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 6, 2008

National Provider Directory

National Provider Directory

Locations

108 S Main St
Booneville, MS 38829
Phone (662) 720-1910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1205086691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293311",
            "telephone_number": "662-720-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293311",
            "telephone_number": "662-720-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL FAMILY EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-720-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PENDING",
            "identifier": "PENDING",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.