Dr. Jonathan Edward Micetich is a Coal City, Illinois based male Optometrist with 28 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jonathan Edward Micetich is 046008925 for Optometry in Illinois. Dr. Jonathan Edward Micetich examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jonathan Edward Micetich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
28+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1996
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
20 E North Street, Coal City, Illinois, 60416-1087
Phone:
815-634-4825
Fax:
815-634-4938
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1456569193
Enrollment ID:
I20110222000116
NPI Number:
1740273754
NPI Enumeration Date:
24 Aug, 2005
NPI Last Update On:
25 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Edward Micetich are as mentioned below.
License Number
Specialization
State
Status
046008925
Optometry
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jonathan Edward Micetich has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Myeyedr Optometry Of Illinois Llc (3577869965)
49
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jonathan Edward Micetich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046008925
Medicaid
Illinois
3232003
Other
Illinois
BLUE CROSS BLUE SHIELD OF ILLINOIS
5075840001
Other
Illinois
NATIONAL GOVERMENT SERVICES
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1950 Old Gallows Rd Ste 520, Vienna, Virginia
Zip:
22182-3970
Phone Number:
703-847-8899
Fax Number:
571-223-6780
Patients can reach Dr. Jonathan Edward Micetich at 20 E North Street, Coal City, Illinois or can call to book an appointment on 815-634-4825. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.