Dr. Benjamin Lickteig, OD
Optometrist in Dedham, Massachusetts
1962738286- Practice location
- 870 Providence Hwy, Dedham, MA 02026-6806
- Phone
- 781-329-0067
- Fax
- 781-320-5603
- Last updated
- December 6, 2012
Benjamin Lickteig is an Optometrist based in Dedham, MA. Benjamin Lickteig practices in Dedham, MA and has the professional credentials of OD. The NPI Number for Benjamin Lickteig is 1962738286 and holds a License No. 4782 (MA). The current practice location address for Benjamin Lickteig 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
- 1962738286
- Provider Name
- Benjamin Lickteig
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 870 Providence Hwy, Dedham, MA 02026-6806
- Phone Number
- 781-329-0067
- Fax Number
- 781-320-5603
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 21, 2009
- Last Update Date
- December 6, 2012
- 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
- Fax Number
- 781-320-5603
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 Dr. Benjamin Lickteig, OD?
The NPI number of Dr. Benjamin Lickteig, OD is 1962738286. It was assigned on October 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Benjamin Lickteig, OD?
Dr. Benjamin Lickteig, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4782.
Where does Dr. Benjamin Lickteig, OD 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 1962738286 directly on the NPPES registry website.