Organization Active NPI

Rebecca C Hill OD PA

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1679812853
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2673 Issued in FL
Legal business name
REBECCA C HILL OD PA
Practice address
2244 N Congress Ave
Boynton Beach, FL 33426-8604
Phone
(561) 738-0111
Fax
(561) 735-9359
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Rebecca C Hill-Moore, OD
Title
Owner
Phone
(561) 738-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2673 FL Primary

Addresses

Primary practice location

2244 N Congress Ave
Boynton Beach, FL 33426-8604

Mailing address

232 Sudbury Dr
Atlantis, FL 33462-1126
Phone (561) 738-0111

Other identifiers 1

IdentifierTypeStateIssuer
001861700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1679812853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SUDBURY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621126",
            "telephone_number": "561-738-0111",
            "fax_number": "561-735-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268604",
            "telephone_number": "561-738-0111",
            "fax_number": "561-735-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA C HILL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HILL-MOORE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-738-0111",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001861700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.