National Provider Identifier
Wendy Sue Micca, OPTICIAN
Wendy Sue Micca, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 697-5723.
Profile Overview
- NPI
- 1043649932
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- November 01, 2013
- Last Updated
- November 01, 2013
Practice Location
- 422 Clinton Ave S
- Rochester, NY 14620-1103
Phone: (585) 697-5723
Mailing Address
- 19 Pewter Rock
- Webster, NY 14580
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1043649932
- Entity Type
- Individual
- Last Name
- Micca
- First Name
- Wendy
- Middle Name
- Sue
- Name Prefix
- Mrs.
- Credential
- OPTICIAN
- Mailing Street Address
- 19 Pewter Rock
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 697-5723
- Mailing Fax
- (595) 232-2972
- Practice Street Address
- 422 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1103
- Practice Country
- US
- Practice Phone
- (585) 697-5723
- Practice Fax
- (585) 232-2972
- Enumeration Date
- November 01, 2013
- Last Updated
- November 01, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Optician (156FX1800X)