Individual
SUZANNE HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1801 W MAIN ST, TROY, OH 45373-2303
(937) 339-3694
Mailing address
1801 W MAIN ST, TROY, OH 45373-2303
(937) 339-3694
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.15483S
OH
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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