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Licata Optical LLC — NPI 1851675003, Mesa, AZ | NPI Central

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NPI 1851675003

OrganizationActive

Licata Optical LLC

NPI 1851675003 · Eyewear Supplier · Mesa, AZ

Provider details

NPI number: 1851675003
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Authorized official: James Licata, Manager/Optician
License: 1185E (AZ)

Practice location

2048 E Baseline Rd

C-6

Mesa, AZ 85204-6969

Phone: (480) 632-5075

Fax: (480) 507-0836

More AZ providers

Mailing address

2048 E Baseline Rd

Mesa, AZ 85204-6969

Registry dates

Enumerated: 2011-10-06
Last updated: 2011-10-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.