person
Dr. Susan Licata Durham, OD
Vision Therapy Optometrist in Raleigh, North Carolina
NPI 1023043163

Susan Licata Durham is a Vision Therapy Optometrist based in Raleigh, NC and is specialized in Vision Therapy. Susan Licata Durham practices in Raleigh, NC and has the professional credentials of OD. The NPI Number for Susan Licata Durham is 1023043163 and holds a License No. 1335 (North Carolina).

The current practice location address for Susan Licata Durham is 10207 Cerny St, Raleigh, NC and can be reached out via phone at 919-361-2299 and via fax at 919-361-0055.

Location: 10207 Cerny St, Raleigh, NC, 27617-7878
person
Provider Profile Details
NPI Number
1023043163
Provider Name
Susan Licata Durham
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
10207 Cerny St, Raleigh, NC, 27617-7878
Phone Number
919-361-2299
Fax Number
919-361-0055
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410036278 01 NC RAILROAD MEDICARE
1223620002 01 NC PALMETTO DMERC
institution
Provider Business Practice Location Address Details
Address
10207 Cerny St
City
State
Zip
27617-7878
Phone Number
919-361-2299
Fax Number
919-361-0055
person
Provider Business Mailing Address Details
Address
10207 Cerny St
City
State
Zip
27617-7878
Phone Number
919-361-2299
Fax Number
919-361-0055
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
License No.
1335 (North Carolina)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Low Vision Rehabilitation
Taxonomy
License No.
1335 (North Carolina)
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Pediatrics
Taxonomy
License No.
1335 (North Carolina)
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
person
Provider's Taxonomy Details 4
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Sports Vision
Taxonomy
License No.
1335 (North Carolina)
Definition
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.
person
Provider's Taxonomy Details 5
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Vision Therapy
Taxonomy
License No.
1335 (North Carolina)
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
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