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Contact Information

LUC E KANICKY, OD
6911 PISTOL RANGE RD
SUITE 103B
TAMPA, FL33635-6335
 Phone: 813-925-3393
 Fax: 813-925-3394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for LUC E KANICKY · (Male)

NPI # 1043275175
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/20/2006
Last updated 05/06/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC 003906
  • FL Other OPC 003906 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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