Provider Demographics
NPI:1942365838
Name:CATANDO, JUSTIN RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:RICHARD
Last Name:CATANDO
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 1:6 SADDLEBURY CT
Mailing Address - Street 2:
Mailing Address - City:VINCENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-2850
Mailing Address - Country:US
Mailing Address - Phone:609-953-8700
Mailing Address - Fax:
Practice Address - Street 1:175 ROUTE 70 STE 23
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:609-953-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00550101152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist