Lickteig Family Eyecare PC
Optometrist in Dedham, Massachusetts
1063720498- Practice location
- 870 Providence Hwy, Dedham, MA 02026-6806
- Phone
- 781-329-0067
- Fax
- 781-320-5603
- Last updated
- June 13, 2011
Lickteig Family Eyecare PC is a healthcare organization based in Dedham, MA. Lickteig Family Eyecare PC practices in Dedham, MA. The NPI Number for Lickteig Family Eyecare PC is 1063720498 and holds a License No. 4782 (MA). The current practice location address for Lickteig Family Eyecare PC is 870 Providence Hwy, Dedham, MA 02026-6806 and can be reached out via phone at 781-329-0067 and via fax at 781-320-5603.
Provider Profile Details
- NPI Number
- 1063720498
- Provider Name
- Lickteig Family Eyecare PC
- Provider Entity Type
- Organization
- Address
- 870 Providence Hwy, Dedham, MA 02026-6806
- Phone Number
- 781-329-0067
- Fax Number
- 781-320-5603
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Benjamin Thomas Lickteig, OD · Owner · 781-329-0067
- Provider Enumeration Date
- September 20, 2010
- Last Update Date
- June 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 870 Providence Hwy
Dedham, MA 02026-6806 - City
- Dedham
- State
- Massachusetts
- Zip
- 02026-6806
- Phone Number
- 781-329-0067
- Fax Number
- 781-320-5603
Provider Business Mailing Address Details
- Address
- 870 Providence Hwy
Dedham, MA 02026-6806 - City
- Dedham
- State
- MA
- Zip
- 02026-6806
- Phone Number
- 781-329-0067
License Information
- License Number
- 4782
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Dedham, MA
View all Optometrists in Dedham →Frequently Asked Questions
What is the NPI number of Lickteig Family Eyecare PC?
The NPI number of Lickteig Family Eyecare PC is 1063720498. It was assigned on September 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Lickteig Family Eyecare PC?
Lickteig Family Eyecare PC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4782.
Where does Lickteig Family Eyecare PC practice?
The practice location is 870 Providence Hwy, Dedham, MA 02026-6806. The office can be reached at 781-329-0067 (phone) or 781-320-5603 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063720498 directly on the NPPES registry website.