Lickteig Family Eyecare PC
NPI 1063720498ActiveOrganization· Optometrist· Dedham, MA
Optometrist in Dedham, Massachusetts, registered in NPPES in September 2010. The authorized official on file is Benjamin Thomas Lickteig, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063720498 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2010 |
| Last updated in NPPES | Jun 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4782 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
Other Optometrist providers in Dedham
- 1215323258
- 1992358048
- 1659371722
- 1093082794
- 1720314644
- 1831399039
- 1710936034
- 1477390003
- 1740972876
- 1437135548
- 1467436410
- 1932362316