Individual
DR. AMANDA S HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1403 ANDREA ST, BOWLING GREEN, KY 42104-3335
(270) 781-4909
(270) 843-9678
Mailing address
108 BRAVO BLVD, GLASGOW, KY 42141-3412
(270) 651-2181
(270) 651-2183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1706DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530061
ANTHEM BCBS
KY
01
—
49437
SPECTERA
KY
05
—
7100023100
—
KY
01
—
KY1706
EYEMED
KY
Enumeration date
07/19/2007
Last updated
03/29/2022
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