Active NPI
Bruce David Hillman, O.D.
- Optometrist
- Allentown, PA
National Provider Identifier
1487625539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001018
- Practice address
- 3136 W Tilghman St
Allentown, PA 18104-4222 - Phone
- (610) 439-1291
- Fax
- (610) 434-8065
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001018 | PA | Primary |
Addresses
Primary practice location
3136 W Tilghman St
Allentown, PA 18104-4222
Mailing address
3136 W Tilghman St
Allentown, PA 18104-4222
Phone (610) 439-1291
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BDHODoffice@aol.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001018 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1487625539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 W TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044222",
"telephone_number": "610-439-1291",
"fax_number": "610-434-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 W TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044222",
"telephone_number": "610-439-1291",
"fax_number": "610-434-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "BRUCE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BDHODoffice@aol.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3136 W Tilghman St",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181044222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.