Provider Demographics
NPI:1881018398
Name:RAMSEY KATAN O D INC
Entity Type:Organization
Organization Name:RAMSEY KATAN O D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY
Authorized Official - Prefix:
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KATAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-202-7070
Mailing Address - Street 1:28401 DATE PALM DR STE B
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-4908
Mailing Address - Country:US
Mailing Address - Phone:760-202-7070
Mailing Address - Fax:760-202-7556
Practice Address - Street 1:28401 DATE PALM DR STE B
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-4908
Practice Address - Country:US
Practice Address - Phone:760-202-7070
Practice Address - Fax:760-202-7556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0118990Medicaid