Individual provider Active NPI

Hal E Hill Jr., O.D.

  • Optometrist
  • Madison, MS
National Provider Identifier
1790841393
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
523 Issued in MS
Practice address
111 Colony Crossing Way
Suite 220
Madison, MS 39110-7778
Phone
(601) 605-4402
Fax
(601) 605-4457
NPI assigned
Dec 28, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 523 MS Primary

Addresses

Primary practice location

111 Colony Crossing Way
Suite 220
Madison, MS 39110-7778

Mailing address

111 Colony Crossing Way
Suite 220
Madison, MS 39110-7778
Phone (601) 605-4402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000121 MS Practitioner - Optometry 8325133283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Eye Care PAGroup PAC ID 5395046007, 2 clinicians

Practice addresses (Care Compare)

111 Colony Crossing Way
Suite 220
Madison, MS 39110-6834
Phone (601) 605-4402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Eye Care PA Optometrist CurrentSince Aug 23, 2015 Accepting new patients
DSL Inc PastSince Aug 23, 2015 Accepting new patients

Locations

111 Colony Crossing Way
Ste 220
Madison, MS 39110
Phone (601) 605-4402

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1790841393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLONY CROSSING WAY",
            "address_2": "SUITE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107778",
            "telephone_number": "601-605-4402",
            "fax_number": "601-605-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLONY CROSSING WAY",
            "address_2": "SUITE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107778",
            "telephone_number": "601-605-4402",
            "fax_number": "601-605-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "HAL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.