DR. BENJAMIN LICKTEIG O.D.
NPI 1962738286
Optometrist in Dedham, MA

Active since October 21, 2009PECOS EnrolledAccepts Medicare Assignment
870 PROVIDENCE HWY, DEDHAM, MA 02026(781) 329-0067(781) 320-5603 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Lickteig O.d. NPPES

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

DR. BENJAMIN LICKTEIG O.D. (NPI 1962738286) is an individual optometrist in Dedham, Massachusetts, licensed in Massachusetts (4782) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2009).

NPPES Registry Identity

NPI1962738286
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN LICKTEIGCredential: O.D.
Location Address870 PROVIDENCE HWYDedham, MA 02026-6806
Mailing Address870 Providence HwyDedham, MA 02026-6806 · (781) 329-0067 · Fax (781) 320-5603
Fax(781) 320-5603
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2009
Enumeration DateOctober 21, 2009
Last NPPES UpdateDecember 6, 2012
NPI 1962738286 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Lickteig O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264612589
PECOS Enrollment IDI20110203000637
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
57 services57 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
38 services38 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
22 services22 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
870 PROVIDENCE HWY
DEDHAM, MA 02026
Optometrist
870 PROVIDENCE HWY
DEDHAM, MA 02026
Eyewear Supplier
870 PROVIDENCE HWY
DEDHAM, MA 02026
Optometrist (Corneal and Contact Management)
870 PROVIDENCE HWY, ATTN: DR. ADAMS
DEDHAM, MA 02026
Optometrist
870 PROVIDENCE HWY
DEDHAM, MA 02026
Student in an Organized Health Care Education/Training Program
870 PROVIDENCE HWY
DEDHAM, MA 02026
Optometrist
870 PROVIDENCE HWY
DEDHAM, MA 02026

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 Benjamin Lickteig's NPI number?

The NPI number for Benjamin Lickteig is 1962738286. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Benjamin Lickteig located?

Benjamin Lickteig practices at 870 Providence Hwy, Dedham, MA 02026. The listed phone number is (781) 329-0067.

What is Benjamin Lickteig's specialty?

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

Is Benjamin Lickteig enrolled in Medicare?

Yes. Benjamin Lickteig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Lickteig accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Benjamin Lickteig 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 Benjamin Lickteig was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.