Dr. Amanda Hickman, O.D.
Optometrist in Covington, LA. Individual provider (NPI-1).
NPI number1811201635
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1811201635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Hickman
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2010
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1603-636T | LA | Yes |
Practice location
1107 Village WalkCovington, LA 70433-4006
Phone 985-231-0800 · Fax 985-590-3721
Mailing address
1107 Village WalkCovington, LA 70433-4006
Phone 985-231-0800
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