Provider Demographics
NPI:1033272885
Name:HIGGINS, ANN P (OD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:P
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1 PACE DR
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2409
Mailing Address - Country:US
Mailing Address - Phone:201-847-0958
Mailing Address - Fax:201-847-7731
Practice Address - Street 1:801 FRANKLIN AVENUE
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1371
Practice Address - Country:US
Practice Address - Phone:201-848-1184
Practice Address - Fax:201-847-7731
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA 00472600152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU68088Medicare UPIN
NJHI135471Medicare ID - Type UnspecifiedOPTOMETRY