Healthcare Provider Details

I. General information

NPI: 1740005594
Provider Name (Legal Business Name): LINDLEY HIGHAM OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 W UNIVERSITY DR STE 155
ROCHESTER MI
48307-1871
US

IV. Provider business mailing address

1135 W UNIVERSITY DR STE 155
ROCHESTER MI
48307-1871
US

V. Phone/Fax

Practice location:
  • Phone: 248-710-2325
  • Fax:
Mailing address:
  • Phone: 248-710-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005848
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: