Individual
DR. MICHAEL KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002574
PA
152W00000X
Optometrist
T004297
NY
152WS0006X
Sports Vision Optometrist
OEG002574
PA
152WV0400X
Vision Therapy Optometrist
OEG002574
PA
152WX0102X
Occupational Vision Optometrist
OEG002574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236789
MEDICARE PTAN
PA
Enumeration date
02/08/2007
Last updated
01/09/2017
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