Individual
DR. BILLY WAYNE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
205A WEST OKMULGEE, CHECOTAH, OK 74426-2408
(918) 473-2308
(918) 473-2961
Mailing address
205A WEST OKMULGEE, CHECOTAH, OK 74426-2408
(918) 473-2308
(918) 473-2961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1083
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170540001
DMERC
OK
05
—
100762010A
—
OK
01
—
410002358
RAILROAD MEDICARE
OK
01
—
731227583001
BLUE CROSS BLUE SHIELD
OK
01
—
A002
CHAMPVA
OK
Enumeration date
11/15/2005
Last updated
03/27/2014
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