Micca, Peter Joseph

Micca, Peter Joseph is an individual health care provider with primary practice located at 2100 Clinton Ave S , Rochester NY 14618-2616. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Micca, Peter Joseph can be contacted via phone (585) 244-6011.

Contact Information

Primary practice address
2100 Clinton Ave S Rochester NY 14618-2616
Phone: (585) 244-6011
Fax: (585) 244-0236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004870 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUV004870 New York

Profile Details

NPI number 1376513366
LBN Legal business name Micca, Peter Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376513366 NPPES
New York Other P011004870 BCBS

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