Organization
KALAMAZOO OPHTHALMOLOGY PC
Active
Organization
KALAMAZOO OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN E HIGGINS M.D. (OWNER)
(269) 329-5860
Entity
Organization
Contact information
Practice address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5860
(269) 329-5865
Mailing address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5860
(269) 329-5865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1803901811
STEPHEN HIGGINS
—
01
—
1803906051
GREGORY BIBART
—
01
—
180C910010
BCN GROUP
—
01
—
180C960320
BCBS GROUP
—
01
—
1863900012
GREGORY BIBART
—
05
—
2669516
—
MI
05
—
4073524
—
MI
05
—
4415148
—
MI
01
—
900C965580
FERRIS STANDIFORD
—
01
—
FS003034
FERRIS STANDIFORD
MI
01
—
GB072121
GREGORY BIBART
MI
01
—
SH405954
STEPHEN HIGGINS
MI
Enumeration date
07/26/2006
Last updated
02/18/2010
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