Provider Demographics
NPI:1952334385
Name:KATAN, RAMSEY (OD)
Entity Type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:KATAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:RAMZI
Other - Middle Name:
Other - Last Name:KATAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:28401 DATE PALM DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3101
Mailing Address - Country:US
Mailing Address - Phone:760-202-7070
Mailing Address - Fax:760-202-7556
Practice Address - Street 1:28401 DATE PALM DR
Practice Address - Street 2:SUITE B
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11899T152W00000X, 152WC0802X, 152WL0500X, 152WP0200X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy