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Contact Information

LICATA OPTICAL LLC
2048 E BASELINE RD
C-6
MESA, AZ85204-6969
 Phone: 480-632-5075
 Fax: 480-507-0836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LICATA OPTICAL LLC

NPI Number 1851675003
LBN Legal business name LICATA OPTICAL LLC
Authorized official JAMES LICATA - (MANAGER/OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2011
Last updated 10/06/2011 - About 15 years ago
Identifiers
AZ License # 1185E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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