Individual
MICHAEL W HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307056
UPMC
PA
01
—
410040112
RR MEDICARE
PA
01
—
490600
AETNA PROVIDER ID#
PA
01
—
HI79266
HIGHMARK ID #
PA
01
—
OEG001084
STATE LICENSE
PA
01
—
U34030
UPIN
PA
Enumeration date
04/04/2006
Last updated
04/29/2024
Update your record
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