IndividualActive
Luc Kanicky, O.D.
NPI 1043275175 · Low Vision Rehabilitation Optometrist · Tampa, FL
Provider details
- NPI number
- 1043275175
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OPC 003906 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6911 Pistol Range Rd
Suite 103b
Tampa, FL 33635-6335
Phone: (813) 925-3393
Fax: (813) 925-3394
Approximate (ZIP-level) locationGet directions
Mailing address
6911 Pistol Range Rd
Tampa, FL 33635-6335
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2010-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.