Ingrid Hilliard PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4985T Issued in TX

Legal business name

INGRID HILLIARD PLLC

Practice address

3240 Broadway St
Pearland, TX 77581-4502

Phone

(281) 997-2627

Fax

(281) 485-8329

NPI assigned

Aug 1, 2008

Organization subpart

No

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

Authorized official

Name

Ingrid Hilliard, ODNPI 1861549891

Title

Owner

Phone

(281) 997-2627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearland Texas State Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Ingrid Hilliard, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1861549891
  Medicare reassignment NPD Authorized official
• Ashley Marie Walton, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1225268782
  Medicare reassignment NPD
• Michael Joseph Delsardo, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1821106196
  NPD
• Elizabeth Tafolla, OD

  • Optometrist
  • Pearland, TX
  • NPI 1467388637
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1770749566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 E. BROADWAY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77581",
            "telephone_number": "281-997-2627",
            "fax_number": "281-485-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814502",
            "telephone_number": "281-997-2627",
            "fax_number": "281-485-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID HILLIARD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-997-2627",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4985T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00703896",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearland Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Pearland, TX
• Providers in Pearland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.