Provider Demographics
NPI:1467077503
Name:CATARINO, MARLENE (OD)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:CATARINO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 CHEROKEE BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-4500
Mailing Address - Country:US
Mailing Address - Phone:857-285-0393
Mailing Address - Fax:
Practice Address - Street 1:97 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:FORT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-4249
Practice Address - Country:US
Practice Address - Phone:762-887-6053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003243152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist