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1104 Adams St, Ste 101, Saint Helena, CA 94574-1164 | |
(707) 963-7923 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1104 Adams St, Saint Helena, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457423501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 11888T (California) | Primary |
Provider Name | Matthew R Hileman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477559011 PECOS PAC ID: 8729977004 Enrollment ID: I20040317001335 |
Mailing Address | Practice Location Address |
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1104 Adams St, Ste 101, Saint Helena, CA 94574-1164 Ph: (707) 963-7923 | 1104 Adams St, Ste 101, Saint Helena, CA 94574-1164 Ph: (707) 963-7923 |
Matthew Robert Hileman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1104 Adams St, Ste 101, Saint Helena, CA 94574 Phone: 707-963-7923 Fax: 707-963-8653 |