| Doctor Name: | MR. THOMAS SCOTT HICKS |
| NPI Number: | 1023141629 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.D.O. |
| License Number: | SC1228 |
| Business Practice Address: | 39 W High St Oxford, OH - 450561710 |
| Business Phone Number: | 5135236616 |
| Business Fax Number: | 5135236616 |
| Mailing Address: | 39 W High St, OXFORD |
| State: | OH |
| Postal Code: | 450561710 |
| Phone Number: | 5135236616 |
| Fax Number: | 5135236616 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | SC1228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |