Provider Demographics
NPI:1982442745
Name:HIRSCH, HANNAH LEIGH (OD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEIGH
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1939
Mailing Address - Country:US
Mailing Address - Phone:740-703-1139
Mailing Address - Fax:
Practice Address - Street 1:1915 SCIOTO TRL # 2874
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2874
Practice Address - Country:US
Practice Address - Phone:740-354-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007321152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist