Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUC EMMANUEL KANICKY, O.D.
Active Sole ProprietorLUC EMMANUEL KANICKY, O.D. is a Low Vision Rehabilitation Optometrist healthcare provider located in TAMPA, Florida. NPI 1043275175 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · TAMPA, FL
Registration Details
- NPI Number
- 1043275175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.35123565613 yrs)
- Last Updated
- May 6, 2010
- License
-
OPC 003906 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6911 PISTOL RANGE RDSUITE 103BTAMPA, FL, 336356335Browse FL providers · Browse ZIP 33635
- Phone
- 8139253393
- Fax
- 8139253394
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.