Individual provider Active NPI

Lance D Higbee, O.D.

  • Optometrist
  • Nellis AFB, NV
National Provider Identifier
1609281880
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9065259-9934 Issued in UT
Practice address
4700 Las Vegas Blvd North
99 Amds/Sgpe
Nellis AFB, NV 89191-6601
Phone
(702) 653-3010
NPI assigned
Jun 25, 2014
Last updated
May 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9065259-9934 UT Primary
Optometrist 152W00000X 906 NV

Addresses

Primary practice location

4700 Las Vegas Blvd North
99 Amds/Sgpe
Nellis AFB, NV 89191-6601

Mailing address

51 E 400 N
#4A
Cedar City, UT 84721
Phone (435) 586-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170630002391 UT Practitioner - Optometry 7315267697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Utah Vision Care PLLCGroup PAC ID 9335408871, 3 clinicians

Practice addresses (Care Compare)

1251 Northfield Rd
Suite 215
Cedar City, UT 84721-8623
Phone (435) 865-9899

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9065259-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Utah Vision Care PLLC Optometrist CurrentSince Mar 31, 2018 Accepting new patients

Locations

1251 Northfield Rd
Ste 215
Cedar City, UT 84721
Phone (435) 865-7902

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1609281880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 400 N",
            "address_2": "#4A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "435-586-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD NORTH",
            "address_2": "99 AMDS/SGPE",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916601",
            "telephone_number": "702-653-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGBEE",
        "first_name": "LANCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9065259-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis AFB, NV

Sources for this page

Verify at the official NPI Registry.