1184722472 NPI number — DR. ALLISON LAWSON HILBURN O.D.

Table of content: TODD R OLINGER PT (NPI 1043353253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184722472 NPI number — DR. ALLISON LAWSON HILBURN O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILBURN
Provider First Name:
ALLISON
Provider Middle Name:
LAWSON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184722472
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1011 STARITA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APEX
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27502-4010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-387-3487
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 BUTTERNUT LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27520-5868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-550-2464
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  1866 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 25774 . This is a "OPTICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5981030001 . This is a "PALMETTTO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 9265865 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2259253 . This is a "UHC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 811588 . This is a "COMMUNITY EYE CARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 199882 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 260572880 . This is a "SVS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 242714 . This is a "MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 562184637 . This is a "SVS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: B5741 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5908681 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1310160001 . This is a "PALMETTO (CLAYTON)" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 223535 . This is a "EYEMED" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 093K9 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".