Provider Demographics
NPI:1831346022
Name:MERRITT, CAT L (OD)
Entity type:Individual
Prefix:DR
First Name:CAT
Middle Name:L
Last Name:MERRITT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 W OREGON AVE
Mailing Address - Street 2:P.O. BOX 688
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426-9605
Mailing Address - Country:US
Mailing Address - Phone:541-895-3937
Mailing Address - Fax:
Practice Address - Street 1:281 W OREGON AVE
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:OR
Practice Address - Zip Code:97426-9605
Practice Address - Country:US
Practice Address - Phone:541-895-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2718ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist