Matthew R Hileman, O D a Profesional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

11888T Issued in CA

Legal business name

MATTHEW R HILEMAN, O D A PROFESIONAL CORPORATION

Practice address

1104 Adams St
Ste 101
Saint Helena, CA 94574-1164

Phone

(707) 963-7923

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Hileman, O.D.NPI 1477559011

Title

President

Phone

(707) 963-7923

Specialties & licenses 1

Addresses

Other names 1

• St. Helena Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Robert Hileman, OD

  • Optometrist
  • Saint Helena, CA
  • NPI 1477559011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1457423501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ADAMS ST",
            "address_2": "STE 101",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741164",
            "telephone_number": "707-963-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ADAMS ST",
            "address_2": "STE 101",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741164",
            "telephone_number": "707-963-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R HILEMAN, O D A PROFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "HILEMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-963-7923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11888T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Helena Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Padmaja Manyam, M.D.
• Paul J Marks, MD
• Ashley Marsh, PA-C
• Richard Martin, M.D.
• Jose Mathews, M.D.
• Kimberly Mazzucco
• Biz Merry McIlmoyl
• Norma Medina, NP
• Christen Mikkelson, RN
• Gregory J Miller, M.D.

• Optometrist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.

Verify at the official NPI Registry.