Provider Demographics
NPI:1376543579
Name:CATINO, GILBERT SEAN (OD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:SEAN
Last Name:CATINO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8116 MARKET ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9386
Mailing Address - Country:US
Mailing Address - Phone:910-686-8000
Mailing Address - Fax:910-686-8077
Practice Address - Street 1:8116 MARKET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9386
Practice Address - Country:US
Practice Address - Phone:910-686-8000
Practice Address - Fax:910-686-8077
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1856152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC410049403OtherRR MEDICARE INDIVIDUAL #
NC89093MMMedicaid
NC410049401OtherRR MEDICARE INDIVIDUAL #
NC093MMOtherBCBS PROV #
NC093MMOtherBCBS PROV #
U92312Medicare UPIN
NC2472287BMedicare PIN
NC2472287AMedicare PIN
NC2472287CMedicare PIN
NC2472287DMedicare PIN