DR. Jonathan Edward Micetich O.D.

  • NPI 1740273754
According to our database, the NPI number for DR. Jonathan Edward Micetich O.D. is 1740273754 and activated since 18 years ago. DR. Jonathan Edward Micetich O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 20 E North Street, Coal City, IL 60416. You can also contact DR. Jonathan Edward Micetich O.D. via telephone number is (815) 634-4825. Provider NPI information was last updated on 03/25/2021.

Recently Active NPIs

Overview of DR. Jonathan Edward Micetich O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/24/2005
  • Last updated: 03/25/2021

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046008925
  • License State: IL

Provider Mailing Address

  • Address: 1950 Old Gallows Rd Ste 520
    Vienna, VA 22182
  • Phone: 703-847-8899
  • Fax: 571-223-6780

Provider Practice Location

  • Address: 20 E North Street
    Coal City, IL 60416
  • Phone: 815-634-4825
  • Fax: 815-634-4938

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046008925
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3232003
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE CROSS BLUE SHIELD OF ILLINOIS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jonathan Edward Micetich O.D.?
  • A: The npi number for DR. Jonathan Edward Micetich O.D. is 1740273754.
  • Q: What are DR. Jonathan Edward Micetich O.D.'s specialties?
  • A: DR. Jonathan Edward Micetich O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Jonathan Edward Micetich O.D.?
  • A: The medical license number for DR. Jonathan Edward Micetich O.D. is 046008925 and issued in IL in USA.
  • Q: Where is DR. Jonathan Edward Micetich O.D. practice location?
  • A: DR. Jonathan Edward Micetich O.D. is practicing at 20 E North Street, Coal City, IL 60416.
  • Q: How to contact DR. Jonathan Edward Micetich O.D.?
  • A: You can contact DR. Jonathan Edward Micetich O.D. via 815-634-4825.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.