# JESSE S HICKS OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SeePort Optometry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376686998
- **Authorized official:** ANNIE HICKS LDO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (813) 270-9277

## Contact information

- **Practice address:** 1299 N SUMTER BLVD, NORTH PORT, FL 34286-8021
- **Practice address phone:** (941) 876-4400
- **Practice address fax:** (941) 876-4390
- **Mailing address:** 1299 N SUMTER BLVD, NORTH PORT, FL 34286-8021
- **Mailing address phone:** (941) 876-4400
- **Mailing address fax:** (941) 876-4390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 09/02/2025