Provider Demographics
NPI:1831328939
Name:PARDINI, CATHERINE C (OD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:PARDINI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:C
Other - Last Name:SCHUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 1047
Mailing Address - Street 2:
Mailing Address - City:KETTLE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99141-1047
Mailing Address - Country:US
Mailing Address - Phone:509-222-4131
Mailing Address - Fax:
Practice Address - Street 1:810 N HIGHWAY
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2028
Practice Address - Country:US
Practice Address - Phone:509-222-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60102621152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist