Provider Demographics
NPI:1497933238
Name:R BRUCE CATANDO, O.D. P.C.
Entity Type:Organization
Organization Name:R BRUCE CATANDO, O.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:R BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CATANDO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-696-7277
Mailing Address - Street 1:110 WESTTOWN RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4978
Mailing Address - Country:US
Mailing Address - Phone:610-696-7277
Mailing Address - Fax:
Practice Address - Street 1:110 WESTTOWN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4978
Practice Address - Country:US
Practice Address - Phone:610-696-7277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0330180001Medicare NSC