Hillery, Kent George
Hillery, Kent George is an individual health care provider with primary practice located at 3343 Center Grove Drive Clock Tower West, Dubuque IA 52003-5264. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hillery, Kent George can be contacted via phone (563) 588-2093.Contact Information
Primary practice address
3343 Center Grove Drive Clock Tower West
Dubuque IA 52003-5264
Phone: (563) 588-2093
Fax: (563) 588-0590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1541 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1379 | Wisconsin |
Profile Details
| NPI number | 1609945377 |
|---|---|
| LBN Legal business name | Hillery, Kent George |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609945377 | NPPES |
| Iowa | Other | 07575 | BLUE CROSS |
| Iowa | MEDICAID | 0070771 | BLUE CROSS |
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