1225183577 NPI number — DR. HILLARY JILL PYKE O.D.

Table of content: MRS. BINA SONI M.A. (NPI 1801883590)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225183577 NPI number — DR. HILLARY JILL PYKE O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PYKE
Provider First Name:
HILLARY
Provider Middle Name:
JILL
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:
1225183577
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 505
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOGANSBURG
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13655-0505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-358-6075
Provider Business Mailing Address Fax Number:
518-358-6078

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
997 STATE RTE 37
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOGANSBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-358-6075
Provider Business Practice Location Address Fax Number:
518-358-6078
Provider Enumeration Date:
01/25/2007

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:  TUV006205-01 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 820552036 . This is a "IRONWORKERS OF WESTERN NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 42093 . This is a "DAVIS VISION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 508 . This is a "DAVIS VISION CSEA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 82-0552036 . This is a "PEQUOT PHARMACEUTICAL" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 146006 . This is a "EYEMED" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 82-0552036 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 82-0552036 . This is a "SUPERIOR VISION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 820552036 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02385293 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 82-0552036 . This is a "VSP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 820552036 . This is a "RMSCO INS." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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