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Jessica Licausi, O.D
NPI 1326326224 · on the registry since 2011 · sole proprietor
Practice
- Address
- 25 Cranberry St Ste A
Riverhead, NY 11901 - Phone
- (631) 740-9384
- Organisation at this address
- Twin Forks Optometry, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 79 Middleville Rd, Northport, NY
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York