DR. BRANDON CLARK HICKS (NPI# 1679887756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679887756 |
Entity Type | Individual |
Full Name | DR. BRANDON CLARK HICKS |
Credential | O.D. |
Practice Address |
755 S Telshor Blvd Ste 101c Las Cruces NM 88011-4644 |
Practice Telephone | 5755223393 |
Practice Fax Number | 5755223482 |
Mailing Telephone | 5755223393 |
Mailing Fax Number | 5755223482 |
Enumeration Date | 2010-08-02 |
Last Update Date | 2011-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 7719282-9934 | UT | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063759025 | Brandon S Hicks | Pharmacist | 7700 Vaughn Rd, Montgomery, AL 36116-1337 | 2013-01-10 |
1194331892 | Brandon Hicks | Behavior Technician | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2020-09-17 |
1801301940 | Brandon Hicks | Occupational Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2017-12-12 |
1902279615 | Brandon Hicks | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2015-11-03 |
1528487642 | Brandon Lee Hicks | Physical Medicine & Rehabilitation | 1542 Tulane Ave, Box T4m-2, New Orleans, LA 70112 | 2014-04-16 |
1467716670 | Brandon L Hicks | Pharmacist | 1252 N Main Ave, Erwin, TN 37650-9122 | 2012-07-02 |
1881867398 | Brandon Clark Hicks | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2008-04-04 |
1104804491 | Brandon Hicks | Emergency Medicine | 1230 Baxter St, Athens, GA 30606-3712 | 2006-01-06 |
Street Address |
755 S TELSHOR BLVD STE 101C |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-4644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
Find all providers in zip 88011 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891357927 | Elizabeth Aneal Dosch | Optometrist | 1415 S Valley Dr Ste 200, Las Cruces, NM 88005-3135 | 2019-06-28 |
1720507064 | Daniel & Max, LLC | Optometrist | 525 S Telshor Blvd, Las Cruces, NM 88011-4685 | 2017-09-19 |
1982733325 | New Mexico Lions Crane Reading Foundation | Optometrist | 3315 Highridge St, Las Cruces, NM 88012-8508 | 2007-03-03 |
1841335189 | Juan M. Lucero | Optometrist | 301 N Solano Dr Ste 3, Las Cruces, NM 88001-2900 | 2007-02-21 |
1801975826 | Andrew Daniel Johnson | Optometrist | 3050 E Lohman Ave Ste F, Las Cruces, NM 88011-8256 | 2006-11-02 |
1780766139 | John Mark Seacat | Optometrist | 2448 Missouri Ave, Las Cruces, NM 88001-5109 | 2006-10-19 |
1346359593 | Thomas A Paz | Optometrist | 330 E Boutz Rd, Las Cruces, NM 88005-3255 | 2006-08-30 |
1841274313 | L Victor Sandoval | Optometrist | 700 S Telshor Blvd, Ste 1534, Las Cruces, NM 88011-4669 | 2005-11-30 |
1932182920 | Rodger V Lewis | Optometrist | 709 N Main St, Las Cruces, NM 88001-1119 | 2005-11-22 |
1750363594 | Michael Nyle Matthews | Optometrist | 2926 Hillrise Dr, Las Cruces, NM 88011-4792 | 2005-11-17 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88011 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.