MRS. WENDY SUE MICCA (NPI# 1043649932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043649932 |
| Entity Type | Individual |
| Full Name | MRS. WENDY SUE MICCA |
| Credential | OPTICIAN |
| Practice Address |
422 Clinton Ave S Rochester NY 14620-1103 |
| Mailing Address |
19 Pewter Rock Webster NY 14580 |
| Practice Telephone | 5856975723 |
| Practice Fax Number | 5852322972 |
| Mailing Telephone | 5856975723 |
| Mailing Fax Number | 5952322972 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
006398 | NY | Eye and Vision Services Providers |
| Street Address |
422 CLINTON AVE S |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397273 | Association for The Blind and Visually Impaired-goodwill Industries Of | Optometrist | 422 Clinton Ave S, Rochester, NY 14620-1103 | 2005-12-20 |
| 1659447910 | Loreyn Leigh Hansen | Occupational Therapist | 422 Clinton Ave S, Abvi- Goodwill, Rochester, NY 14620-1103 | 2006-11-28 |
| 1437254331 | Allison M. Ford | Optometrist | 422 Clinton Ave S, Rochester, NY 14620-1103 | 2006-09-14 |
| 1184651754 | Katherine White | Optometrist | 422 Clinton Ave S, Rochester, NY 14620-1103 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990594 | Jolene Lynette Summa | Technician/Technologist | 3333 W Henrietta Rd Ste 31, Rochester, NY 14623-3543 | 2019-06-11 |
| 1457868176 | Patrick Merrill Call | Technician/Technologist | 39 Manordale Ln, Rochester, NY 14623-3011 | 2018-01-03 |
| 1699212878 | Janet Louise Pecorella | Technician/Technologist | 1295 Porland Ave., Suite #1, Rochester, NY 14621-2731 | 2017-01-25 |
| 1952704652 | Ashley Diane Scarpulla | Technician/Technologist | 82 Holyoke St, Rochester, NY 14615-2014 | 2014-10-08 |
| 1679917348 | Alan Steven Rifkin | Technician/Technologist | 6 Towpath Trl, Rochester, NY 14624-4552 | 2013-04-24 |
| 1467790972 | Lorraine Ann Hussain | Technician/Technologist | 919 Westfall Rd Bldg B, Rochester, NY 14618-2638 | 2013-01-18 |
| 1881861003 | Elviro Egisto Larocca | Technician/Technologist | 379 Park Ave, Rochester, NY 14607-2807 | 2008-05-15 |
| 1811162233 | Paul A Paradowski | Technician/Technologist | 111 Westmar Dr, Rochester, NY 14624-2537 | 2008-04-27 |
| 1053591719 | M Bell Price | Technician/Technologist | 131 Drake Dr, Rochester, NY 14617-4307 | 2007-11-11 |
| 1780708867 | Michael Zachary Rich | Technician/Technologist | 3340 Monroe Ave, Rochester, NY 14618-4612 | 2007-03-16 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.