Dr. Susan Licata Durham is a Raleigh, North Carolina based female Corneal and Contact Management Optometrist with 35 years of experience in Optometry - Corneal and Contact Management. She completed her graduation from Pennsylvania College Of Optometry in 1989. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Susan Licata Durham is 1335 for Optometry - Pediatrics in North Carolina.
Dr. Susan Licata Durham performs professional activities related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Complete Profile:
Dr. Susan Licata Durham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry - Corneal and Contact Management |
| Credentials: | OD |
| Experience: | 35+ years |
| Medical School Attended: | Pennsylvania College Of Optometry |
| Graduation Year: | 1989 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10207 Cerny St, Suite 100, Raleigh,
North Carolina, 27617-7878 |
| Phone: | 919-361-2299 |
| Fax: | 919-361-0055 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2769467505 |
| Enrollment ID: | I20100331001281 |
| NPI Number: | 1023043163 |
| NPI Enumeration Date: | 11 Jul, 2006 |
| NPI Last Update On: | 29 Sep, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Licata Durham are as mentioned below.
| License Number | Specialization | State | Status | |
| 1335 | Optometry - Pediatrics | North Carolina | Primary | |
| 1335 | Optometry - Corneal and Contact Management | North Carolina | Secondary | |
| 1335 | Optometry - Low Vision Rehabilitation | North Carolina | Secondary | |
| 1335 | Optometry - Sports Vision | North Carolina | Secondary | |
| 1335 | Optometry - Vision Therapy | North Carolina | Secondary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Susan Licata Durham has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Brier Creek Vision Care Pa (6305972043) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan Licata Durham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 410036278 | Other | North Carolina | RAILROAD MEDICARE |
| 1223620002 | Other | North Carolina | PALMETTO DMERC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10207 Cerny St, Suite 100
Raleigh, North Carolina |
| Zip: | 27617-7878 |
| Phone Number: | 919-361-2299 |
| Fax Number: | 919-361-0055 |
Patients can reach Dr. Susan Licata Durham at
10207 Cerny St, Suite 100, Raleigh, North Carolina or can
call to book an appointment on 919-361-2299. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.