Individual
DR. GREGORY WILLARD HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2331 COLUMBUS AVE, SANDUSKY, OH 44870-4827
(419) 626-0272
(419) 626-1546
Mailing address
2331 COLUMBUS AVE, SANDUSKY, OH 44870-4827
(419) 626-0272
(419) 626-1546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3742T188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575855
—
OH
Enumeration date
02/12/2007
Last updated
07/24/2007
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