Individual
ERIC BENJAMIN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-1122
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
43642
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
43642
KY
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
43642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K002531
INDIVIDUAL PROVIDER PTAN
KY
Enumeration date
03/05/2007
Last updated
03/17/2018
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