Dr. Susan Licata Durham
Sports Vision Pediatric Optomitrist Optomitrist - Vision Therapist Optomitrist - Low Vision Rehabilitation and 1 more
10207 Cerny St Suite 100
Raleigh
, North Carolina 27617-7878
Dr. Susan Licata Durham
Sports Vision Pediatric Optomitrist Optomitrist - Vision Therapist Optomitrist - Low Vision Rehabilitation and 1 more
10207 Cerny St Suite 100
Raleigh
, North Carolina 27617-7878
(919) 361-0055
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
- Optomitrist - Low Vision Rehabilitation
- Pediatric Optomitrist
- Sports Vision
- Optomitrist - Vision Therapist
Languages spoken
- English
Location
First Address
- Dr. Susan Licata Durham
- 10207 Cerny St Suite 100
- Raleigh, NC
- Zip : 27617-7878
- Fax : (919) 361-0055
- Phone : (919) 361-2299
Second Address
- Dr. Susan Licata Durham
- 10207 Cerny St Suite 100
- Raleigh, NC
- Zip : 27617-7878
- Fax : (919) 361-0055
- Phone : (919) 361-2299
Reviews
FAQs
Where did Dr. Susan Licata Durham attend graduate school?
Where did Dr. Susan Licata Durham do her residency?
Where did Dr. Susan Licata Durham do her fellowship?
Is Dr. Susan Licata Durham board certified?
What type of doctor is Dr. Susan Licata Durham
In what state does Dr. Susan Licata Durham practice in?
Where is Dr. Susan Licata Durham ’s practice located?
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Is Dr. Susan Licata Durham a sole practitioner?
Is Dr. Susan Licata Durham accepting new patients?
What languages does Dr. Susan Licata Durham speak?
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Does Dr. Susan Licata Durham offers telemedicine?
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What is Dr. Susan Licata Durham ’s NPI number?
Does Dr. Susan Licata Durham have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1335 | NC |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 1335 | NC |
| Y | 152WP0200X | Pediatric Optomitrist | 1335 | NC |
| N | 152WS0006X | Sports Vision | 1335 | NC |
| N | 152WV0400X | Optomitrist - Vision Therapist | 1335 | NC |
National Provider Identifier
| NPI | 1023043163 |
|---|---|
| Provider Name | Dr. Susan Licata Durham |
| First Address | Raleigh, NC 27617-7878 |
| Second Address | Raleigh, NC 27617-7878 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1223620002 | PALMETTO DMERC (01) | NC |
| 410036278 | RAILROAD MEDICARE (01) | NC |
| U28219 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.