Hickner Eye Center, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HICKNER EYE CENTER, P.C.

Practice address

1906 W Milham Ave
Portage, MI 49024

Phone

(269) 345-1121

Fax

(269) 345-9110

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Miss Jenna Ray Meier

Title

Medical Claims Biller

Phone

(269) 345-1121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary John Hickner, MD

  • Ophthalmology Physician
  • Portage, MI
  • NPI 1215234745
  Medicare reassignment
• Andrew R Anderson, OD

  • Optometrist
  • Mishawaka, IN
  • NPI 1104854942
  NPD (past)
• Shannan Elizabeth Brown, OD

  • Optometrist
  • Mishawaka, IN
  • NPI 1104023290
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1891914867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-345-1121",
            "fax_number": "269-345-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-345-1121",
            "fax_number": "269-345-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKNER EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MEDICAL CLAIMS BILLER",
        "authorized_official_telephone_number": "269-345-1121",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audionna Hernandez
• Mya Hernandez
• Courtney Lee Hersha, FNP-C
• Masen Hessler
• Jenna Hicken
• Zachary John Hickner, MD
• Austin D Hickok, PA-C
• Paige Jennifer Hickson, PA-C
• Stephen E Higgins, MD
• Kathryn Diane Hill, LMSW

• Specialist in Portage, MI
• Providers in Portage, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.