Provider Demographics
NPI:1568739340
Name:JAMES J CATTARIN OD INC
Entity Type:Organization
Organization Name:JAMES J CATTARIN OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:CATTARIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-343-5717
Mailing Address - Street 1:130 1/2 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-4302
Mailing Address - Country:US
Mailing Address - Phone:330-343-5717
Mailing Address - Fax:
Practice Address - Street 1:130 1/2 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-4302
Practice Address - Country:US
Practice Address - Phone:330-343-5717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2724/T379152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0050742Medicaid
OH0050742Medicaid