Individual
KEITH S HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
945 INDIAN SPRINGS RD, INDIANA, PA 15701-3507
(724) 465-6232
(724) 465-0340
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000956
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019241780002
—
PA
Enumeration date
02/20/2006
Last updated
04/14/2022
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