Katich, Michael J.
Katich, Michael J. is an individual health care provider with primary practice located at 4305 Butler Hill Rd , Saint Louis MO 63128-3718. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Katich, Michael J. can be contacted via phone (314) 487-4744.Contact Information
Primary practice address
4305 Butler Hill Rd
Saint Louis MO 63128-3718
Phone: (314) 487-4744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2861 | Missouri |
Profile Details
| NPI number | 1669449765 |
|---|---|
| LBN Legal business name | Katich, Michael J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Aug 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669449765 | NPPES |
| Other | 12062 | OPTICAREMEDICARE COMPLETE | |
| Other | 179835 | OPTICAREMEDICARE COMPLETE | |
| Other | 410048086 | OPTICAREMEDICARE COMPLETE | |
| Other | 100684 | OPTICAREMEDICARE COMPLETE | |
| Other | 110969 | OPTICAREMEDICARE COMPLETE | |
| Other | 22-01200 | OPTICAREMEDICARE COMPLETE | |
| Other | 4185 | OPTICAREMEDICARE COMPLETE | |
| Other | 000091336 | OPTICAREMEDICARE COMPLETE | |
| MEDICAID | 313428427 | OPTICAREMEDICARE COMPLETE | |
| Other | P00403019 | OPTICAREMEDICARE COMPLETE |
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