Individual
DR. MICHAEL J. KATICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2861
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091336
MEDICARE PART B PTAN
MO
01
—
100684
BLUE CROSS BLUE SHIELD MO
—
01
—
110969
EYEMED
—
01
—
12062
OPTICAREMEDICARE COMPLETE
—
01
—
179835
HEALTHLINK
—
01
—
22-01200
UNITED HEALTHCARE
—
05
—
313428427
—
MO
01
—
410048086
RR MEDICARE
IL
01
—
4185
HEALTHCARE USA
MO
01
—
P00403019
RR MEDICARE
MO
Enumeration date
03/07/2006
Last updated
08/17/2022
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