| 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 | James N Doyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871669929 PECOS PAC ID: 3577523000 Enrollment ID: I20041025000948 |
| Provider Name | David J Conway |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831255702 PECOS PAC ID: 9032301270 Enrollment ID: I20101007000032 |
| 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 | Amelia C Burns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982227146 PECOS PAC ID: 6002208907 Enrollment ID: I20220127000931 |
| Provider Name | Jessica Ships |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770205007 PECOS PAC ID: 3274988118 Enrollment ID: I20231012000403 |
| Provider Name | Ava J. Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417715236 PECOS PAC ID: 4183167786 Enrollment ID: I20240819001014 |
| Provider Name | Alyssa Chow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477390003 PECOS PAC ID: 0941749956 Enrollment ID: I20240822000326 |
| Provider Name | Srinivas R Srirangam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215821392 PECOS PAC ID: 5395239362 Enrollment ID: I20251209000528 |
| 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: Not Enrolled in Medicare 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: Medicare Enrolled 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 |
Juliet Helene Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 870 Providence Hwy, Dedham, MA 02026 Phone: 781-329-0067 |