Provider Demographics
NPI:1164456729
Name:CATALANO, AMY J (OD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:J
Last Name:CATALANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:J
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:95 WASHINGTON ST STE 466
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-4008
Mailing Address - Country:US
Mailing Address - Phone:781-821-1224
Mailing Address - Fax:877-992-0275
Practice Address - Street 1:95 WASHINGTON ST STE 466
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-4008
Practice Address - Country:US
Practice Address - Phone:781-821-1224
Practice Address - Fax:877-992-0275
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4402152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist