Provider Demographics
NPI:1740242981
Name:HIGGINS, MICHAEL W (OD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:HIGGINS
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:STIRLING EYECARE CENTER
Mailing Address - Street 2:166 POINT PLAZA
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-285-2618
Mailing Address - Fax:724-285-7507
Practice Address - Street 1:STIRLING EYECARE CENTER
Practice Address - Street 2:166 POINT PLAZA
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-285-2618
Practice Address - Fax:724-285-7507
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001084152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU34030OtherUPIN
PA490600OtherAETNA PROVIDER ID#
PAHI79266OtherHIGHMARK ID #
PA410040112OtherRR MEDICARE
PAOEG001084OtherSTATE LICENSE
PA307056OtherUPMC
PA307056OtherUPMC
PA307056OtherUPMC
PAMH0473722OtherDEA #
PAHI79266OtherHIGHMARK ID #