Individual provider Active NPI

Jeffrey P Hilovsky, O.D.

  • Optometrist
  • Georgetown, DE
National Provider Identifier
1306840236
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001208 Issued in DE
Practice address
502 W Market St
Ste a
Georgetown, DE 19947-2322
Phone
(302) 856-2020
Fax
(302) 856-4970
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001208 DE Primary

Addresses

Primary practice location

502 W Market St
Ste a
Georgetown, DE 19947-2322

Mailing address

502 W Market St
Ste a
Georgetown, DE 19947-2322
Phone (302) 856-2020

Other identifiers 2

IdentifierTypeStateIssuer
0000525122MedicaidDE
0552745000OtherDEAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eye Center PA Past Accepting new patients

Organizations & group practices 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1306840236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "STE A",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "STE A",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILOVSKY",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000525122",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0552745000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.