Individual
DR. ROBERT W HILLSGROVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2900 VETERANS WAY, MELBOURNE, FL 32940-8007
(321) 637-3646
Mailing address
2900 VETERANS WAY, MELBOURNE, FL 32940-8007
(321) 637-3646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
VETERANS AFFAIRS
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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