Hicks, Scotty Lloyd
Hicks, Scotty Lloyd is an individual health care provider with primary practice located at 1208 N 18Th St , Monroe LA 71201-5430. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hicks, Scotty Lloyd can be contacted via phone (318) 322-2020.Contact Information
Primary practice address
1208 N 18Th St
Monroe LA 71201-5430
Phone: (318) 322-2020
Fax: (318) 387-4242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1183-341T | Louisiana |
Profile Details
| NPI number | 1790903144 |
|---|---|
| LBN Legal business name | Hicks, Scotty Lloyd |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790903144 | NPPES |
| Louisiana | MEDICAID | 1126551 |
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