Hicks, Gregory Willard
Hicks, Gregory Willard is an individual health care provider with primary practice located at 2331 Columbus Ave , Sandusky OH 44870-4827. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hicks, Gregory Willard can be contacted via phone (419) 626-0272.Contact Information
Primary practice address
2331 Columbus Ave
Sandusky OH 44870-4827
Phone: (419) 626-0272
Fax: (419) 626-1546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3742T188 | Ohio |
Profile Details
| NPI number | 1538200498 |
|---|---|
| LBN Legal business name | Hicks, Gregory Willard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 24th, 2007 - about 19 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 | 1538200498 | NPPES |
| Ohio | MEDICAID | 0575855 |
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