Provider Demographics
NPI:1609281880
Name:HIGBEE, LANCE D (OD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:D
Last Name:HIGBEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 E 400 N
Mailing Address - Street 2:#4A
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721
Mailing Address - Country:US
Mailing Address - Phone:435-586-0709
Mailing Address - Fax:
Practice Address - Street 1:4700 LAS VEGAS BLVD NORTH
Practice Address - Street 2:99 AMDS/SGPE
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-6601
Practice Address - Country:US
Practice Address - Phone:702-653-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9065259-9934152W00000X
NV906152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist