Jonathan Edward Micetich in Coal City - Optometrist
Jonathan Edward Micetich - NPI 1740273754
Jonathan Edward Micetich is a Optometrist in Coal City, Illinois. Jonathan Edward Micetich practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Edward Micetich is 1740273754. The last update date is 2021-03-25.
Jonathan Edward Micetich's current location address is 20 E North Street, Coal City, Illinois. You can contact this provider via phone number 8156344825 and fax number 8156344938. The mailing address for Jonathan Edward Micetich is 20 E North Street, Coal City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Edward Micetich |
|---|---|
| Address | 20 E North Street, Coal City, Illinois |
| Phone Number | 8156344825 |
| Fax Number | 8156344938 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1740273754 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2021-03-25 |
Provider Mailing Address Detail
| Address | 20 E North Street |
|---|---|
| City | Coal City |
| State | Illinois (IL) |
| Post Code | 604161087 |
| Phone Number | 8156344825 |
| Fax Number | 8156344938 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008925 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008925 | IL | -- | |
| 3232003 | IL | BLUE CROSS BLUE SHIELD OF ILLI | |
| 5075840001 | IL | NATIONAL GOVERMENT SERVICES |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathan Edward Micetich?
The Jonathan Edward Micetich has been issued the NPI (National Provider Identifier) 1740273754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jonathan Edward Micetich is physically located?
The Jonathan Edward Micetich is physically situated at the following address: 20 E North Street, Coal City, IL, 604161087.
What is the Jonathan Edward Micetich's specialty and taxonomy code?
The Jonathan Edward Micetich's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date was the 1740273754 assigned to Jonathan Edward Micetich?
The Jonathan Edward Micetich was issued its 1740273754 on 2005-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jonathan Edward Micetich last refreshed?
The information related to the Jonathan Edward Micetich, including its address, specialty, and other relevant details, was last updated on 2021-03-25.
NPI Number: 1598760647
Address: 4631 N Congress Ave Ste 101, West Palm Beach, FL