National Provider Identifier
Peter Joseph Micca, O.D.
Peter Joseph Micca, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 244-6011.
Profile Overview
- NPI
- 1376513366
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- January 24, 2006
- Last Updated
- August 19, 2014
Practice Location
- 2100 Clinton Ave S
- Rochester, NY 14618-2616
Phone: (585) 244-6011
Specialties
- Optometrist (152W00000X)
- Corneal and Contact Management Optometrist (152WC0802X)
Full Record
- NPI
- 1376513366
- Entity Type
- Individual
- Last Name
- Micca
- First Name
- Peter
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 2100 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2616
- Mailing Country
- US
- Mailing Phone
- (585) 244-6011
- Mailing Fax
- (585) 244-0236
- Practice Street Address
- 2100 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2616
- Practice Country
- US
- Practice Phone
- (585) 244-6011
- Practice Fax
- (585) 244-0236
- Enumeration Date
- January 24, 2006
- Last Updated
- August 19, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Corneal and Contact Management Optometrist (152WC0802X)
- Other Identifiers
- P011004870 (NY, BCBS)