MR. Brandon Clark Hicks, O.D.

NPI #1679887756 in Boise, Idaho

Provider Information

NPI Number: 1679887756
Entity Type: Individual
Name: MR. Brandon Clark Hicks, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 2, 2010
Last Updated: Jun 22, 2023

Practice Location

Address: 999 N CURTIS SUITE 205
City: Boise
State: Idaho
ZIP Code: 83706-1336
Phone: (208) 373-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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