DR. Jonathan Edward Micetich, O.D.

NPI #1740273754 in Coal City, Illinois

Provider Information

NPI Number: 1740273754
Entity Type: Individual
Name: DR. Jonathan Edward Micetich, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 24, 2005
Last Updated: Mar 25, 2021

Practice Location

Address: 20 E NORTH STREET
City: Coal City
State: Illinois
ZIP Code: 60416-1087
Phone: (815) 634-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
J. Micetich, Od & Associates Family Eye Care Center P C	Optometrist	Coal City	AI Deep Dive

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