Individual
DR. M SCOTT HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 RESEARCH PARK WAY, LAWRENCE, KS 66047-3944
(785) 424-8805
(913) 229-7030
Mailing address
4955 RESEARCH PARK WAY, LAWRENCE, KS 66047-3944
(785) 424-8805
(913) 229-7030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-32997
KS
207W00000X
Ophthalmology Physician
0432997
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016353
MEDICARE PROVIDER NUMBER
KS
01
—
1770016727
GROUP NPI
—
Enumeration date
06/23/2006
Last updated
05/19/2025
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