Individual
MICHELLE L HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
26 SCHOOL ST, YARMOUTH, ME 04096-4709
(207) 854-1544
(207) 854-1516
Mailing address
26 SCHOOL ST, STE 1, YARMOUTH, ME 04096-4710
(207) 847-3800
(207) 847-3802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023030
ANTHEMBCBS
ME
01
—
1689835845
GROUP NPI #
ME
01
—
3559581
AETNA
ME
05
—
412330099
—
ME
Enumeration date
06/20/2005
Last updated
12/03/2019
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