Organization
LICATA OPTICAL CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S LICATA OPTICIAN (OWNER/OPERATOR)
(716) 433-1844
Entity
Organization
Contact information
Practice address
5683 S TRANSIT RD, LOCKPORT, NY 14094-5844
(716) 433-1844
(716) 433-1047
Mailing address
5683 S TRANSIT RD, LOCKPORT, NY 14094-5844
(716) 433-1844
(716) 433-1047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026918201
UNIVERA
NY
01
—
00026918207
UNIVERA COM. HEALTH
NY
01
—
00026955801
UNIVERA 4 FRONT
NY
01
—
000300065003
BLUE CROSS BLUE SHIELD
NY
01
—
016180
BLOZK
NY
01
—
208911
HIMARK-CLARITY
NY
01
—
333691
NVA
NY
01
—
7310246
IND. HEALTH
NY
01
—
NY2497
VBA
NY
01
—
OP-0229-01
EYEMED
NY
Enumeration date
08/08/2006
Last updated
06/21/2018
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