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 09 December, 2024.
Dr. Paul Denis Hayes, O.D. 46+ yr exp.Speciality: Corneal and Contact Management Optometrist Address: 4905 Green Rd Ste 107b, NC Phone: 919-877-9300 Fax: 919-877-9335
Jessie Boycott, OD Speciality: Optometrist Address: 3320 Executive Dr Ste 111, NC Phone: 919-876-2427 Fax: 919-850-9234