Organization
LICATA OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S LICATA (OWNER OPERATOR)
(716) 631-3860
Entity
Organization
Contact information
Practice address
8070 TRANSIT ROAD, WILLIAMSVILLE, NY 14221
(716) 631-3860
(716) 631-3090
Mailing address
8070 TRANSIT ROAD, WILLIAMSVILLE, NY 14221
(716) 631-3860
(716) 631-3090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026918201
UNIVERA
NY
01
—
000300065001
BLUE CROSS BLUE SHIELD
NY
01
—
008564
BLOCK VISION
NY
01
—
294082
HIMARK CLARITY
NY
01
—
333541
NATIONAL VISION ADM
NY
01
—
46028
SPECTERA
NY
01
—
7310246
IND HEALTH
NY
01
—
OP022902
EYEMED
NY
01
—
OP2234
EYEMED
NY
Enumeration date
11/21/2006
Last updated
02/08/2008
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