Individual provider Active NPI

James Edward Hill, OD

  • Optometrist
  • White Oak, PA
National Provider Identifier
1275658247
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0E004679T Issued in PA
Practice address
2001 Lincoln Way Ste 240
White Oak, PA 15131-2419
Phone
(412) 673-1243
Fax
(412) 673-1129
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0E004679T PA Primary

Addresses

Primary practice location

2001 Lincoln Way Ste 240
White Oak, PA 15131-2419

Mailing address

4318 Northern Pike
Suite 102
Monroeville, PA 15146-2823
Phone (412) 373-4433

Other practice location 1

4318 Northern Pike
Suite 102
Monroeville, PA 15146-2823
Phone (412) 373-4433

Other identifiers 1

IdentifierTypeStateIssuer
1610677005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000066 PA Practitioner - Optometry 8224296280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0E004679TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 15, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 15, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients

Locations

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

2001 Lincoln Way
Ste 240
White Oak, PA 15131
Phone (412) 673-1243

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1275658247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 NORTHERN PIKE",
            "address_2": "SUITE 102",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462823",
            "telephone_number": "412-373-4433",
            "fax_number": "412-373-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN WAY STE 240",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312419",
            "telephone_number": "412-673-1243",
            "fax_number": "412-673-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4318 Northern Pike",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462823",
            "country_code": "US",
            "telephone_number": "412-373-4433",
            "fax_number": "412-373-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0E004679T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610677005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.