Lickteig Family Eyecare PC

NPI #1063720498 in Dedham, Massachusetts

Provider Information

NPI Number: 1063720498
Entity Type: Organization
Organization Name: Lickteig Family Eyecare PC
Primary Specialty: Optometrist
Enumeration Date: Sep 20, 2010
Last Updated: Jun 13, 2011

Practice Location

Address: 870 PROVIDENCE HWY
City: Dedham
State: Massachusetts
ZIP Code: 02026-6806
Phone: (781) 329-0067

Authorized Official

Name: DR. BENJAMIN THOMAS LICKTEIG, O.D.
Title: OWNER
Phone: (781) 329-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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