JAMES LICATA (NPI# 1295029072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295029072 |
| Entity Type | Individual |
| Full Name | JAMES LICATA |
| Credential | LDO |
| Practice Address |
2048 E Baseline Rd # C-6 Mesa AZ 85204-6969 |
| Practice Telephone | 4806325075 |
| Practice Fax Number | 4805070836 |
| Mailing Telephone | 4806325075 |
| Mailing Fax Number | 4805070836 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
748 | AZ | Eye and Vision Services Providers |
| Street Address |
2048 E BASELINE RD # C-6 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659866564 | National Vision, Inc. | Technician/Technologist | 1438 S Power Rd Ste 101, Mesa, AZ 85206-3729 | 2018-06-25 |
| 1831686203 | Nationwide Vision Center, Inc. | Technician/Technologist | 1240 W Southern Ave Ste 101-p, Mesa, AZ 85202-4882 | 2018-04-20 |
| 1508179151 | Paul Benedetti | Technician/Technologist | 8050 E Sugarloaf Cir, Mesa, AZ 85207-1485 | 2010-07-23 |
| 1174783294 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1155 S Power Rd Ste 102, Mesa, AZ 85206-3716 | 2008-06-12 |
| 1346461555 | Nationwide Vision Center, LLC | Technician/Technologist | 955 W Southern Ave, Suite #122, Mesa, AZ 85210-4903 | 2007-05-02 |
| 1881721520 | Gary Louis Ulmer | Technician/Technologist | 1450 W Southern Ave, Suite #8, Mesa, AZ 85202-4860 | 2007-02-28 |
| 1639225493 | Optical East Inc | Technician/Technologist | 4419 E Main St Ste 109, Mesa, AZ 85205-7900 | 2007-01-26 |
| 1396800116 | Wal-mart Stores, Inc. | Technician/Technologist | 1606 S Signal Butte Rd, Mesa, AZ 85209-1482 | 2006-12-22 |
| 1023171139 | Wal-mart Stores, Inc. | Technician/Technologist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2006-12-19 |
| 1063585040 | Nationwide Vision Center, LLC | Technician/Technologist | 5052 S Power Rd, Suite 107, Mesa, AZ 85212-5004 | 2006-11-16 |
| Find all providers in MESA | ||||
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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.