Higgs, Larry Wayne
Higgs, Larry Wayne is an individual health care provider with primary practice located at 17 S Oak St , Sapulpa OK 74066-4312. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Higgs, Larry Wayne can be contacted via phone (918) 224-2610.Contact Information
Primary practice address
17 S Oak St
Sapulpa OK 74066-4312
Phone: (918) 224-2610
Fax: (918) 224-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0229 | Oklahoma |
Profile Details
| NPI number | 1366449225 |
|---|---|
| LBN Legal business name | Higgs, Larry Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Feb 12th, 2009 - about 15 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 | 1366449225 | NPPES |
| Oklahoma | MEDICAID | 100763080A |
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