| Lickteig Family Eyecare Pc | |
|
870 Providence Hwy, Dedham, MA 02026-6806 | |
| (781) 329-0067 | |
| (781) 320-5603 |
| Full Name | Lickteig Family Eyecare Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 870 Providence Hwy, Dedham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063720498 | NPI | - | NPPES |
| 0019618 | Other | MA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4782 (Massachusetts) | Primary |
| Provider Name | Benjamin Lickteig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962738286 PECOS PAC ID: 2264612589 Enrollment ID: I20110203000637 |
| Provider Name | Janine Ann Vecchiarello |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720390248 PECOS PAC ID: 8426224494 Enrollment ID: I20111222000454 |
| Provider Name | Jane Trinh Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881092666 PECOS PAC ID: 3375869142 Enrollment ID: I20150313001810 |
| Provider Name | Erin Elizabeth Lord |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336556984 PECOS PAC ID: 6608197785 Enrollment ID: I20150601001866 |
| Provider Name | Melissa Tom-kun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699295840 PECOS PAC ID: 6800157637 Enrollment ID: I20180219001483 |
| Provider Name | Rose Mary Redmond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871680298 PECOS PAC ID: 5991727539 Enrollment ID: I20180622002159 |
| Provider Name | Abigail Virginia Colbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275194847 PECOS PAC ID: 1850724188 Enrollment ID: I20191127001021 |
| Provider Name | Christine Minh Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093387946 PECOS PAC ID: 3375946387 Enrollment ID: I20210728004045 |
| Provider Name | Allyx L Beaulier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386216968 PECOS PAC ID: 0345646121 Enrollment ID: I20210901003782 |
| Provider Name | Delena X Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922739184 PECOS PAC ID: 2961884713 Enrollment ID: I20220727000634 |
| Provider Name | Joel Munoz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952032971 PECOS PAC ID: 1951771849 Enrollment ID: I20230111000578 |
| Provider Name | Yen Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609567528 PECOS PAC ID: 7416317300 Enrollment ID: I20230725000275 |
| Provider Name | Tracey Weng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720762305 PECOS PAC ID: 9739540063 Enrollment ID: I20230802001750 |
| Provider Name | Jessica Ships |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770205007 PECOS PAC ID: 3274988118 Enrollment ID: I20231012000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Lickteig Family Eyecare Pc 870 Providence Hwy, Dedham, MA 02026-6806 Ph: (781) 329-0067 | Lickteig Family Eyecare Pc 870 Providence Hwy, Dedham, MA 02026-6806 Ph: (781) 329-0067 |
Dedham Ophthalmic Consultants And Surgeons Pc Optometrist Medicare: Medicare Enrolled Practice Location: 980 Washington St, Suite 120, Dedham, MA 02026 Phone: 781-251-2222 Fax: 781-234-0279 | |
Helen Farjad Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9211 Station Cir, Dedham, MA 02026 Phone: 781-329-4514 Fax: 508-484-2008 | |
Christine Minh Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 870 Providence Hwy, Dedham, MA 02026 Phone: 781-329-0067 | |
Dedham Medical Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-329-1400 | |
Dr. Michael Robert Adams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 870 Providence Hwy, Attn: Dr. Adams, Dedham, MA 02026 Phone: 781-329-0067 Fax: 781-320-5603 | |
Erin Elizabeth Lord, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 870 Providence Hwy, Dedham, MA 02026 Phone: 781-329-0067 Fax: 781-320-5603 |