Chequita Hilversum, PLLC
Organization Active NPI Optometrist · Chipley, FL
NPI 1407413628 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1407413628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CHEQUITA HILVERSUM, PLLC
- Practice address
- 1621 Main St
Chipley, FL 32428-5992 - Phone
- (850) 638-3214
- NPI assigned
- May 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Chequita Farina Hilversum, OD
- Title
- Ambr/Managing Member
- Phone
- (850) 819-9450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1621 Main St
Chipley, FL 32428-5992
Mailing address
4738 Cherokee Heights Rd
Panama City, FL 32404-2023
Phone (850) 819-9450
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.