Hickey, Carol L

Hickey, Carol L is an individual health care provider with primary practice located at 4326 Charlestown Rd # 2 , New Albany IN 47150-8542. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hickey, Carol L can be contacted via phone (812) 945-0023.

Contact Information

Primary practice address
4326 Charlestown Rd # 2 New Albany IN 47150-8542
Phone: (812) 945-0023
Fax: (812) 945-0291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003343 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1778DT Kentucky

Profile Details

NPI number 1285610741
LBN Legal business name Hickey, Carol L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Oct 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285610741 NPPES
Kentucky Other 000000624031 BCBS
Kentucky MEDICAID 200502740 BCBS
Kentucky Other 000000624031 BCBS
Kentucky MEDICAID 7100100650 BCBS

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