Grant D. Hill, O.D.
Individual provider Active NPI Optometrist · Saint Louis, MO
NPI 1831440577 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1831440577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2016026607 (MO)
- Practice address
- 4109 Union Rd
Saint Louis, MO 63129-1064 - Phone
- (314) 487-0700
- Fax
- (314) 487-1212
- NPI assigned
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170908002300 | MO | Practitioner - Optometry | 3870733967 | Reassigns benefits to 1 organization |
| I20250624003727 | NC | Practitioner - Optometry | 3870733967 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1729 | SC | MD | Chiropractor |
| 2016026607 | MO | MD | Optometrist |
| 2525 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye & Contact Lens Associates, LLC | Optometrist | Current |
Accepting new patients |
| NC Doctors of Optometry PLLC | Optometrist | Current |
Accepting new patients |
| NC Doctors of Optometry PLLC | Optometrist | Current |
Accepting new patients |
Locations
83 S Tunnel Rd
Ste A2
Asheville, NC 28805
Phone (828) 298-0207
8020 Northlake Creek Dr
Ste A
Charlotte, NC 28216
Phone (704) 272-3378
9882 Rea Rd
Ste A
Charlotte, NC 28277
Phone (704) 627-8143
12806 S Tryon St
Ste 250
Charlotte, NC 28273
Phone (704) 317-1953
8561 Concord Mills Blvd
#B
Concord, NC 28027
Phone (704) 979-8234
3700 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 852-6664
8830 Lindholm Dr
Ste 105
Huntersville, NC 28078
Phone (704) 494-6832
1011 S Main St
Kernersville, NC 27284
Phone (336) 993-0461
1018 Shoppes At Midway Dr
Ste A
Knightdale, NC 27545
Phone (919) 752-5959
9623 E Independence Blvd
Ste P
Matthews, NC 28105
Phone (704) 321-7150
951 Morrisville Pkwy
Ste 103
Morrisville, NC 27560
Phone (984) 253-1362
5900 Poyner Anchor Ln
Ste 151
Raleigh, NC 27616
Phone (919) 766-8497
807 Bypass Highway 123
Seneca, SC 29678
Phone (864) 654-7980
807 Bypass Highway 123
Ste 22
Seneca, SC 29678
Phone (864) 654-7980
Interoperability endpoints
- granthill@direct.eyecare-partners.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1729 | SC | |
| Optometrist | 152W00000X | 2016026607 | MO | Yes |
Addresses
Primary practice location
4109 Union Rd
Saint Louis, MO 63129-1064
Mailing address
15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393
NPI Registry JSON
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831440577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD",
"address_2": "SUITE 201",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 UNION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291064",
"telephone_number": "314-487-0700",
"fax_number": "314-487-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "GRANT",
"middle_name": "D.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1729",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2016026607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.