Jesse S Hicks is a Optometrist in North Port, Florida. Jesse S Hicks practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jesse S Hicks is 1801939509. The last update date is 2013-12-03.
Jesse S Hicks's current location address is 4381 Aidan Ln, North Port, Florida. You can contact this provider via phone number 9418764400 and fax number 9418764390. The mailing address for Jesse S Hicks is 4381 Aidan Ln, North Port, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse S Hicks |
|---|---|
| Address | 4381 Aidan Ln, North Port, Florida |
| Phone Number | 9418764400 |
| Fax Number | 9418764390 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1801939509 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2013-12-03 |
Provider Mailing Address Detail
| Address | 4381 Aidan Ln |
|---|---|
| City | North Port |
| State | Florida (FL) |
| Post Code | 342874917 |
| Phone Number | 9418764400 |
| Fax Number | 9418764390 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC 3897 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identifier code issued to Jesse S Hicks by the Centers for Medicare & Medicaid Services?
The Jesse S Hicks has been assigned the NPI (National Provider Identifier) 1801939509. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jesse S Hicks?
The Jesse S Hicks is situated at 4381 Aidan Ln, in the city of North Port, state of FL, with the zip code 342874917.
What is the Jesse S Hicks's specialty and taxonomy code?
The Jesse S Hicks's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801939509 to Jesse S Hicks?
The Jesse S Hicks received its 1801939509 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the Jesse S Hicks's details last updated?
The information pertaining to the Jesse S Hicks, including its address, specialty, and other details, was most recently updated on 2013-12-03.