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LUC EMMANUEL KANICKY O.D. NPI 1043275175


NPI Information

NPI: 1043275175
Provider Name: LUC EMMANUEL KANICKY, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

Organization: EYE WORKS OF LAND O LAKES

PECOS Registration: Yes

Address:
6911 PISTOL RANGE RD
SUITE 103B
TAMPA, FL
ZIP 33635
Phone: (813) 925-3393
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Luc Emmanuel Kanicky, O.D. is a low vision rehabilitation optometrist in Tampa, FL with 21 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. Luc Emmanuel Kanicky, O.D. NPI is 1043275175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6911 PISTOL RANGE RD
SUITE 103B
TAMPA, FL
ZIP 33635-335
Phone: (813) 925-3393
Fax: (813) 925-3394

The NPI 1043275175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 4/20/2006 and was last updated on 5/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision RehabilitationOPC 003906FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OPC 003906OTHERFLORIDASTATE LICENSE
2U97329MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.