Kevin R Hickman in Warsaw - Optometrist

Kevin R Hickman - NPI 1609879030

Kevin R Hickman is a Optometrist in Warsaw, Indiana. Kevin R Hickman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin R Hickman is 1609879030. The last update date is 2008-02-22.

Kevin R Hickman's current location address is 2251 Dubois Dr, Warsaw, Indiana. You can contact this provider via phone number 5742692777 and fax number 5743714697. The mailing address for Kevin R Hickman is 2251 Dubois Dr, Warsaw, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin R Hickman
Address 2251 Dubois Dr, Warsaw, Indiana
Phone Number 5742692777
Fax Number 5743714697
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1609879030
Provider Enumeration Date 2005-05-31
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 2251 Dubois Dr
City Warsaw
State Indiana (IN)
Post Code 4658032120
Phone Number 5742692777
Fax Number 5743714697

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18002532
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100173900 IN --

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FAQs about Kevin R Hickman

What is the unique 10-digit identifier code issued to Kevin R Hickman by the Centers for Medicare & Medicaid Services?

The Kevin R Hickman has been assigned the NPI (National Provider Identifier) 1609879030 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kevin R Hickman is physically located?

The Kevin R Hickman is physically situated at the following address: 2251 Dubois Dr, Warsaw, IN, 4658032120.

What is the area of specialization for Kevin R Hickman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kevin R Hickman is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Kevin R Hickman receive the assignment of its 1609879030 from the Centers for Medicare & Medicaid Services?

The Kevin R Hickman was issued its 1609879030 by the Centers for Medicare & Medicaid Services on 2005-05-31.

As of what date were the details related to Kevin R Hickman most recently updated or revised?

The information pertaining to Kevin R Hickman, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-22.

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