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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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