Individual
DR. LARRY WAYNE HIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17 S OAK ST, SAPULPA, OK 74066-4312
(918) 224-2610
(918) 224-0613
Mailing address
17 S OAK ST, SAPULPA, OK 74066-4312
(918) 224-2610
(918) 224-0613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0229
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763080A
—
OK
Enumeration date
07/06/2005
Last updated
02/12/2009
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