Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary John Hickner, MD

Individual provider Ophthalmology Physician · NPI 1215234745

Zachary John Hickner, MD is an Ophthalmology in Portage, Michigan. Graduated from Michigan State University College of Human Medicine in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1906 W Milham Ave
Portage, MI 49024-1232
Phone: (269) 345-1121
Fax: (269) 345-9110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 093190 (MI)

Record details

NPI number1215234745
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 18, 2011
Last updated in NPPESNovember 27, 2023
Certification dateOctober 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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