Lickteig Family Eyecare PC
NPI 1063720498 · Optometrist · Dedham, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lickteig Family Eyecare PC is a Optometrist organization in Dedham, MA (NPI 1063720498).
Provider details
- NPI number
- 1063720498
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Benjamin Lickteig, Owner(781) 329-0067
- License
- 4782 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2011-06-13
Frequently asked questions
- What is Lickteig Family Eyecare PC's NPI number?
- Lickteig Family Eyecare PC's National Provider Identifier (NPI) is 1063720498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lickteig Family Eyecare PC?
- Lickteig Family Eyecare PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Lickteig Family Eyecare PC located?
- Lickteig Family Eyecare PC's practice location on file with NPPES is 870 Providence Hwy, Dedham, MA 02026-6806.
- What is Lickteig Family Eyecare PC's phone number?
- The practice phone number listed in the NPPES registry for Lickteig Family Eyecare PC is (781) 329-0067.
- Does Lickteig Family Eyecare PC accept Medicare?
- Lickteig Family Eyecare PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lickteig Family Eyecare PC?
- The authorized official listed on Lickteig Family Eyecare PC's NPPES record is Benjamin Lickteig, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lickteig Family Eyecare PC's NPI active?
- Yes — Lickteig Family Eyecare PC's NPI (1063720498) is active in the NPPES registry as of the last update on 2011-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.