| J. Micetich, Od & Associates Family Eye Care Center P C | |
|
20 E North St, Coal City, IL 60416-1087 | |
| (815) 634-4825 | |
| Not Available |
| Full Name | J. Micetich, Od & Associates Family Eye Care Center P C |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 20 E North St, Coal City, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093832008 | NPI | - | NPPES |
| 046008925 | Medicaid | IL | |
| 03232003 | Other | IL | BCBS |
| 1740273754 | Other | IL | PERSONAL NPI |
| DR0848 | Other | RAILROAD MEDICARE GROUP PTAN | |
| 410047901 | Other | RAILROAD MEDICARE GROUP MEMBER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-008925 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| J. Micetich, Od & Associates Family Eye Care Center P C 2920 Gateway Gorge, Morris, IL 60450-9771 Ph: (815) 634-4825 | J. Micetich, Od & Associates Family Eye Care Center P C 20 E North St, Coal City, IL 60416-1087 Ph: (815) 634-4825 |
Patricia Helen Simpson, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 20 E North St, Coal City, IL 60416 Phone: 815-634-4825 Fax: 815-634-4938 | |
Dr. Andrea Paradesi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20 E North St, Coal City, IL 60416 Phone: 815-634-4825 | |
Dr. Jennifer Wai-ling Chu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 E North St, Coal City, IL 60416 Phone: 815-634-4825 | |
Dr. Jonathan Edward Micetich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 E North Street, Coal City, IL 60416 Phone: 815-634-4825 Fax: 815-634-4938 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20 E North St, Coal City, IL 60416 Phone: 815-634-4825 Fax: 815-634-4938 |