Provider Demographics
NPI:1962523324
Name:DONALD T HILL O.D.
Entity type:Organization
Organization Name:DONALD T HILL O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:TREFRY
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-957-4750
Mailing Address - Street 1:91 MILL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3200
Mailing Address - Country:US
Mailing Address - Phone:978-957-4750
Mailing Address - Fax:978-957-7177
Practice Address - Street 1:91 MILL ST
Practice Address - Street 2:SUITE 6
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3200
Practice Address - Country:US
Practice Address - Phone:978-957-4750
Practice Address - Fax:978-957-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2510152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0327948Medicaid
MA163258Medicare ID - Type Unspecified
MA0327948Medicaid