Michael J. Hill O.D. PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4326 Issued in FL

Legal business name

MICHAEL J. HILL O.D. PA

Practice address

300 Mary Esther Blvd
Mary Esther, FL 32569-1693

Phone

(850) 362-0127

Fax

(850) 664-6254

NPI assigned

Jan 2, 2010

Last updated

Jan 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Joel Hill, O.D.

Title

President

Phone

(850) 543-2171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1235469917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 STANDISH LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473237",
            "telephone_number": "850-543-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARY ESTHER BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691693",
            "telephone_number": "850-362-0127",
            "fax_number": "850-664-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. HILL O.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-543-2171",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.