Active NPI
Hill Vision Services, LLC
- Ophthalmology Physician
- Cape Girardeau, MO
National Provider Identifier
1285881573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R7J50
- Legal business name
- HILL VISION SERVICES, LLC
- Practice address
- 319 S Silver Springs Rd
Cape Girardeau, MO 63703-6311 - Phone
- (573) 332-1300
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Parciak
- Title
- Account Manager
- Phone
- (314) 432-2580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R7J50 | MO | Primary |
Addresses
Primary practice location
319 S Silver Springs Rd
Cape Girardeau, MO 63703-6311
Mailing address
PO Box 419161
Saint Louis, MO 63141
Phone (314) 432-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070824000785 | MO | Part B Supplier - Clinic/Group Practice | 2365534005 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Charles, MO; Saint Louis, MO; Lake St Louis, MO; Creve Coeur, MO; Chesterfield, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1285881573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419161",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-432-2580",
"fax_number": "314-432-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036311",
"telephone_number": "573-332-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL VISION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "PARCIAK",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "314-432-2580"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MO",
"license": "R7J50",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.