Individual
DR. JEE ME KANICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
21517 VILLAGE LAKES SHOPPING CTR DR, LAND O LAKES, FL 34639-5101
(813) 949-0421
(813) 949-0351
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3907
FL
152WP0200X
Pediatric Optometrist
OPC 003907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 003907
STATE LICENSE
FL
Enumeration date
04/25/2006
Last updated
03/16/2022
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