Provider Demographics
NPI:1679455026
Name:LOCICERO, ALEXIS S (OD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:S
Last Name:LOCICERO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:S
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 RIDDELL ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2008
Mailing Address - Country:US
Mailing Address - Phone:413-286-2020
Mailing Address - Fax:413-376-9495
Practice Address - Street 1:180 DAGGETT DR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4667
Practice Address - Country:US
Practice Address - Phone:413-286-2020
Practice Address - Fax:413-376-9495
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOPT8289152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist