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LICKTEIG FAMILY EYECARE PC
NPI 1063720498
Optometrist in Dedham, MA

Active since September 20, 2010
870 PROVIDENCE HWY, DEDHAM, MA 02026(781) 329-0067(781) 320-5603 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lickteig Family Eyecare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICKTEIG FAMILY EYECARE PC (NPI 1063720498) is a healthcare organization registered as an optometrist in Dedham, Massachusetts and active in the NPI registry since September 2010. The organization lists Benjamin Thomas Lickteig, Owner, as its authorized official.

NPPES Registry Identity

NPI1063720498
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLICKTEIG FAMILY EYECARE PC
Location Address870 PROVIDENCE HWYDedham, MA 02026-6806
Mailing Address870 Providence HwyDedham, MA 02026-6806 · (781) 329-0067
Phone(781) 329-0067
Fax(781) 320-5603
Organization SubpartNo
Authorized OfficialBenjamin Thomas LickteigOwner · (781) 329-0067
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJune 13, 2011
✔ NPI 1063720498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 4782
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
870 PROVIDENCE HWY, Dedham, MA 02026
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Other Identifiers 1

Other0019618MA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lickteig Family Eyecare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Lickteig Family Eyecare PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (16)

Juliet Sullivan, OD
Optometry
NPI 1346188109
870 PROVIDENCE HWY
Dedham, MA 02026
(781) 329-0067
✔ PECOS✔ Accepts MedicareSame address
Alyssa Chow
Optometry
NPI 1477390003
870 PROVIDENCE HWY
Dedham, MA 02026
(781) 329-0067
✔ PECOS✔ Accepts MedicareSame address
Benjamin Lickteig, O.D.
Optometry
NPI 1962738286
870 PROVIDENCE HWY
Dedham, MA 02026
(781) 329-0067
✔ PECOS✔ Accepts MedicareSame address
Erin Lord, O.D.
Optometry
NPI 1336556984
870 PROVIDENCE HWY
Dedham, MA 02026
(781) 329-0067
✔ PECOS✔ Accepts MedicareSame address
Jane Lam, O.D.
Optometry
NPI 1881092666
19 DUNSTER ST
Cambridge, MA 02138
(617) 354-5590
✔ PECOS✔ Accepts Medicare10 mi
Melissa Tom-Kun, OD
Optometry
NPI 1699295840
450 WASHINGTON ST
Boston, MA 02111
(617) 988-8136
✔ PECOS✔ Accepts Medicare10 mi
Abigail Colbert, OD
Optometry
NPI 1275194847
1245 WORCESTER ST STE 1042
Natick, MA 01760
(508) 653-0919
✔ PECOS✔ Accepts Medicare11 mi
David Conway, OD
Optometry
NPI 1831255702
40 HOLLAND ST
Somerville, MA 02144
(617) 629-6280
✔ PECOS✔ Accepts Medicare12 mi
Amelia Burns, OD
Optometry
NPI 1982227146
4110 MYSTIC VALLEY PKWY
Medford, MA 02155
(781) 350-7008
✔ PECOS✔ Accepts Medicare13 mi
Rose Redmond, OD
Optometry
NPI 1871680298
4110 MYSTIC VALLEY PKWY WELLINGTON CIRCLE PLAZA
Medford, MA 02155
(781) 391-1195
✔ PECOS✔ Accepts Medicare13 mi
Srinivas Srirangam, OD
Optometry
NPI 1215821392
940 BELMONT ST
Brockton, MA 02301
(508) 583-4500
✔ PECOS✔ Accepts Medicare14 mi
Ava Walsh, OD
Optometry
NPI 1417715236
280 SCHOOL ST STE J140
Mansfield, MA 02048
(508) 594-4510
✔ PECOS✔ Accepts Medicare16 mi
Kelly Macdonald, OD
Optometry
NPI 1841129947
19 TENNYSON RD
Reading, MA 01867
(781) 439-7506
✔ PECOS21 mi
Jessica Ships, OD
Optometry
NPI 1770205007
11 SUMMER ST
Chelmsford, MA 01824
(978) 726-4071
✔ PECOS✔ Accepts Medicare26 mi
James Doyle, O.D.
Optometry
NPI 1871669929
50 HAVERHILL ST
Methuen, MA 01844
(978) 682-5656
✔ PECOS✔ Accepts Medicare32 mi
Janine Vecchiarello, O.D.
Optometry
NPI 1720390248
479 OLD UNION TPKE
Lancaster, MA 01523
(978) 537-3900
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lickteig Family Eyecare PC's NPI number?

The NPI number for Lickteig Family Eyecare PC is 1063720498. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Lickteig Family Eyecare PC located?

Lickteig Family Eyecare PC is located at 870 Providence Hwy, Dedham, MA 02026. The listed phone number is (781) 329-0067.

What is Lickteig Family Eyecare PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lickteig Family Eyecare PC enrolled in Medicare?

Yes. Lickteig Family Eyecare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lickteig Family Eyecare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Optometry, reassign their Medicare billing to Lickteig Family Eyecare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lickteig Family Eyecare PC accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Lickteig Family Eyecare PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lickteig Family Eyecare PC was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.