Individual provider · Type 1 NPI

Jonathan Edward Micetich, OD

Optometrist · Coal City, IL

NPI number 1740273754 Active

Practice location

20 E North Street
Coal City, IL 60416-1087

Fax (815) 634-4938

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X046008925 (IL)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1740273754

Jonathan Edward Micetich, OD's National Provider Identifier is 1740273754, issued on Aug 24, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Coal City, IL. The record was last updated on Mar 25, 2021.