Lawrence Allen Hicks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001631A Issued in IN

Practice address

47 Pine Lake Ave
La Porte, IN 46350-3027

Phone

(219) 325-0404

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1356433742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S 362 W",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859108",
            "telephone_number": "219-462-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503027",
            "telephone_number": "219-325-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LAWRENCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice M Hernandez, MD
• John Herod, RPH
• John Thomas Heroldt, ED.D., HSPP
• Pamela J Heyne-Thompson, O.D.
• Hickory Grove Behavioral Services, LLC
• Hilbish Drug, Inc.
• Stephanie Hillyer, RD
• Hoback Counseling LLC
• Nancy Hoback, LCSW
• Darcy Hoffman

• Optometrist in La Porte, IN
• Providers in La Porte, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.