LUC EMMANUEL KANICKY (NPI# 1043275175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043275175 |
| Entity Type | Individual |
| Full Name | LUC EMMANUEL KANICKY |
| Credential | O.D. |
| Practice Address |
6911 Pistol Range Rd Suite 103b Tampa FL 33635-6335 |
| Practice Telephone | 8139253393 |
| Practice Fax Number | 8139253394 |
| Mailing Telephone | 8139253393 |
| Mailing Fax Number | 8139253394 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPC 003906 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | OPC 003906 | 01 |
| Street Address |
6911 PISTOL RANGE RD SUITE 103B |
| City | TAMPA |
| State | FL |
| Zip Code | 33635-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175454 | Laurie Folkman Md | Family Medicine | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2005-12-15 |
| 1609318609 | Proven Services, Inc | Home Health | 6911 Pistol Range Rd, Suite 201g, Tampa, FL 33635-6335 | 2016-11-08 |
| 1386004992 | Nadia Martinez | Developmental Therapist | 6911 Pistol Range Rd, Suite 103a, Tampa, FL 33635-6335 | 2016-02-25 |
| 1326454455 | Carol Walsh | Developmental Therapist | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2014-07-09 |
| 1629493887 | Countryway Eyecare | Optometrist | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2014-02-25 |
| 1558692921 | Sophie Mt Maurice | Massage Therapist | 6911 Pistol Range Rd, 103-a, Tampa, FL 33635-6335 | 2010-01-24 |
| 1952597692 | Optima Home Health Inc | Home Health | 6911 Pistol Range Rd, Suite 103, Tampa, FL 33635-6335 | 2007-09-17 |
| 1093928343 | Transnota Inc | Developmental Therapist | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2007-05-07 |
| 1245296599 | Jee Me Kanicky | Optometrist | 6911 Pistol Range Rd, Suite 103b, Tampa, FL 33635-6335 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| 1528428638 | Tracy Lee | Behavioral Analyst | 6951 Pistol Ridge Road, Tampa, FL 33635 | 2016-03-02 |
| 1912301409 | Stacey-ann Samuels Taylor | Contractor | 6608 Camden Bay Drive, # 303, Tampa, TAMPA 33635 | 2014-10-13 |
| 1356753438 | Fountain of Youth Alf Inc | Assisted Living Facility | 9001 Bana Villa Ct, Tampa, FL 33635 | 2014-05-23 |
| 1518212646 | The Good Shepherd Sleep Center | Clinic/Center | 13668 W Hillsborough Ave, Tampa, FL 33635 | 2012-07-15 |
| 1033487343 | Crystal A Reinhart | Physical Therapist | 8417 Poydras Lane, Tampa, FL 33635 | 2011-12-01 |
| 1093002768 | Anthony Roosevelt Washington IIi | Family Medicine | 13608 W Hillsborough Ave, Tampa, FL 33635 | 2011-07-01 |
| 1710187778 | Jerome Abutal Abellana | Physical Therapist | 8504 Tidal Bay Ln, Tampa, FL 33635 | 2007-07-18 |
| 1902298433 | Cindy Ceja | Behavioral Analyst | 6951 Pistol Range Rd, Tampa, FL 33635 | 2015-02-20 |
| 1265842249 | Christine Ann Roeper | Technician, Other | 6951 Pistol Range Rd, Tampa, FL 33635 | 2014-04-30 |
| Find all providers in zip 33635 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600790 | West Coast Eye Institute Pa | Optometrist | 212 S Apopka Ave, Inverness, FL 34452-4803 | 2014-04-17 |
| 1710257910 | Rebecca Irene Munjak | Optometrist | 10000 Bay Pines, Bay Pines, FL 33744-5005 | 2012-01-04 |
| 1063420172 | Second Sight Rehab Pa | Optometrist | 4101 Nw 89th Blvd, Shands Rehabilitation Hospital, Gainesville, FL 32606-3813 | 2006-08-04 |
| 1669493219 | Harlyne Beth Knight-hantman | Optometrist | 17940 Military Trl Ste 400, Boca Raton, FL 33496-2411 | 2006-07-21 |
| 1619917374 | Rosemary Anne Carrera | Optometrist | 8100 Coral Way, Miami, FL 33155-1227 | 2006-06-08 |
| 1801858071 | Lighthouse of Pinellas Inc | Optometrist | 6925 112th Cir, Largo, FL 33773-5200 | 2006-04-04 |
| 1063489904 | Christopher R Choat | Optometrist | 215 E New Hampshire St, Orlando, FL 32804-6403 | 2006-02-28 |
| 1639660731 | Dayone | Optometrist | 8030 W Mcnab Rd, North Lauderdale, FL 33068-4226 | 2018-05-23 |
| 1770037186 | Salh Vision Enterprises Inc | Optometrist | 1400 S Orlando Ave, Suite 320, Winter Park, FL 32789-5543 | 2016-08-15 |
| 1063836625 | Schott Vision Care Pa | Optometrist | 600 S Orlando Ave, Suite 300, Maitland, FL 32751-5660 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.