Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN EDWARD MICETICH, O.D.
Active Sole ProprietorDR. JONATHAN EDWARD MICETICH, O.D. is a Optometrist healthcare provider located in COAL CITY, Illinois. NPI 1740273754 is currently active in the NPPES registry. Verify at CMS.
Optometrist · COAL CITY, IL
Registration Details
- NPI Number
- 1740273754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.792574542607 yrs)
- Last Updated
- Mar 25, 2021
- License
-
046008925 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 E NORTH STREETCOAL CITY, IL, 604161087Browse IL providers · Browse ZIP 60416
- Phone
- 8156344825
- Fax
- 8156344938
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in COAL CITY, IL
| Name | Credential | NPI |
|---|---|---|
| PATRICIA HELEN SIMPSON | O. D. | 1649274366 |
| DR. JENNIFER WAI-LING CHU | O.D. | 1710326657 |
| DR. ANDREA PARADESI | O.D. | 1679021547 |
| ABIGAIL RENE NORRIS | — | 1902489982 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.