Licata Optical Co Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LICATA OPTICAL CO INC

Practice address

8070 Transit Road
Williamsville, NY 14221

Phone

(716) 631-3860

Fax

(716) 631-3090

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David S LicataNPI 1922136464

Title

Owner Operator

Phone

(716) 631-3860

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David S. Licata

  • Optician
  • Williamsville, NY
  • NPI 1922136464
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1962577569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 TRANSIT ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-631-3860",
            "fax_number": "716-631-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 TRANSIT ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-631-3860",
            "fax_number": "716-631-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICATA OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "LICATA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "716-631-3860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND HEALTH",
            "identifier": "7310246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000300065001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADM",
            "identifier": "333541",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026918201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "46028",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "008564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIMARK CLARITY",
            "identifier": "294082",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP022902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP2234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Y Li
• Li Li, MD
• Yi Hung Li, M.D.
• Rachel Elise Liberati, FNP
• Liberty Millennium Inc
• David S. Licata
• David Lichter, MD
• Jamie Lynn Liebler, CDN
• Sheryl L. Lighten, RN
• Ann F Lillis, ANP

• Optometrist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.