Larry W. Hicks, OD

NPI #1801905302 in Creston, Iowa

Provider Information

NPI Number: 1801905302
Entity Type: Individual
Name: Larry W. Hicks, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 29, 2006
Last Updated: Feb 1, 2010

Practice Location

Address: 900 N SUMNER AVE
City: Creston
State: Iowa
ZIP Code: 50801-1351
Phone: (641) 782-5970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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