person
James Licata, LDO
Optician in Mesa, Arizona
NPI 1295029072

James Licata is a Optician based in Mesa, AZ and is specialized in Optician. James Licata practices in Mesa, AZ and has the professional credentials of LDO. The NPI Number for James Licata is 1295029072 and holds a License No. 748 (Arizona).

The current practice location address for James Licata is 2048 E Baseline Rd # C-6, Mesa, AZ and can be reached out via phone at 480-632-5075 and via fax at 480-507-0836. You can also correspond with James Licata through the mailing address at 2048 E BASELINE RD # C-6, MESA, AZ - 85204-6969 (mailing address contact number: 480-632-5075).

Location: 2048 E Baseline Rd # C-6, Mesa, AZ, 85204-6969
person
Provider Profile Details
NPI Number
1295029072
Provider Name
James Licata
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
2048 E Baseline Rd # C-6, Mesa, AZ, 85204-6969
Phone Number
480-632-5075
Fax Number
480-507-0836
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2048 E Baseline Rd # C-6
City
State
Zip
85204-6969
Phone Number
480-632-5075
Fax Number
480-507-0836
person
Provider Business Mailing Address Details
Address
2048 E Baseline Rd # C-6
City
State
Zip
85204-6969
Phone Number
480-632-5075
Fax Number
480-507-0836
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
748 (Arizona)
Definition
Definition to come...
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