Individual provider Active NPI

Angela D. Hill, O.D.

  • Optometrist
  • Midvale, UT
National Provider Identifier
1982613865
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5676170-9934 Issued in UT
Practice address
7400 Union Park Ave
Suite 202
Midvale, UT 84047-6704
Phone
(801) 569-3698
Fax
(801) 569-0578
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5676170-9934 UT Primary

Addresses

Primary practice location

7400 Union Park Ave
Suite 202
Midvale, UT 84047-6704

Mailing address

7400 Union Park Ave
Suite 202
Midvale, UT 84047-6704
Phone (801) 569-3698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20041001000430 UT Practitioner - Optometry 3577532944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kris a Hill OD PCGroup PAC ID 9537064456, 2 clinicians

Practice addresses (Care Compare)

7400 S Union Park Ave
Suite 202
Midvale, UT 84047-6706
Phone (801) 569-3698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kris a Hill OD PC Optometrist CurrentSince Jul 1, 2005 Accepting new patients

Locations

7400 S Union Park Ave
Ste 202
Midvale, UT 84047
Phone (801) 569-3698

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1982613865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE",
            "address_2": "SUITE 202",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476704",
            "telephone_number": "801-569-3698",
            "fax_number": "801-569-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE",
            "address_2": "SUITE 202",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476704",
            "telephone_number": "801-569-3698",
            "fax_number": "801-569-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5676170-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.