Larry W. Hicks, OD
Optometrist in Creston, IA. Individual provider (NPI-1).
NPI number1801905302
StatusActive
Last updated in NPPESFeb 1, 2010
Details
- NPI
- 1801905302
- Entity type
- Individual (NPI-1)
- Name
- Larry W. Hicks
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Feb 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 01473 | IA | Yes |
Practice location
900 N Sumner AveCreston, IA 50801-1351
Phone 641-782-5970 · Fax 641-782-2756
Mailing address
900 N Sumner AveCreston, IA 50801-1351
Phone 641-782-5970 · Fax 641-782-2756
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All 12 Optometrist providers in Creston · All 196 providers in Creston
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