Healthcare Provider Details
I. General information
NPI: 1700858024
Provider Name (Legal Business Name): JAMES F HICKS O.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/02/2006
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
262 SAN JOSE ST STE A
SALINAS CA
93901-3935
US
IV. Provider business mailing address
262 SAN JOSE ST STE A
SALINAS CA
93901-3935
US
V. Phone/Fax
- Phone: 831-424-2531
- Fax: 831-424-3778
- Phone: 831-424-2531
- Fax: 831-424-3778
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 4584T |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: