Jonathan Micetich (NPI# 1740273754, PAC ID# 1456569193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1740273754 |
| PAC ID by PECOS | 1456569193 |
| Professional Enrollment ID | I20110222000116 |
| Full Name | Jonathan Micetich |
| Organization Legal Name | J. MICETICH, OD AND ASSOCIATES FAMILY EYE CARE CENTER P C |
| Address |
232 S Comet Dr Braidwood IL 60408-2028 |
| Phone Number | 8154582338 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0547478281 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 232 S Comet Dr, Braidwood, IL 60408-2028 | 8154582338 | J. MICETICH, OD AND ASSOCIATES FAMILY EYE CARE CENTER P C |
| 20 E N St, Coal City, IL 60416-1087 | 8156344825 | J. MICETICH, OD AND ASSOCIATES FAMILY EYE CARE CENTER P C |
| Organization Legal Name | J. MICETICH, OD AND ASSOCIATES FAMILY EYE CARE CENTER P C |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Wai-ling Chu | Optometry | J. Micetich, Od and Associates Family Eye Care Center P C | 232 S Comet Dr, Braidwood, IL 60408-2028 |
| Street Address |
232 S COMET DR |
| City | BRAIDWOOD |
| State | IL |
| Zip | 60408-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Wai-ling Chu | Optometry | J. Micetich, Od and Associates Family Eye Care Center P C | 232 S Comet Dr, Braidwood, IL 60408-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason P Lamarche | Chiropractic | 180 E Main St, Braidwood, IL 60408-1912 | |
| Jaynee E Pendergast | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Kristine H Smith | Clinical Social Worker | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Jennifer L Thomas | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Mark A Passerman | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Michael J Condon | Chiropractic | 208 Comet Dr B, Braidwood, IL 60408-2028 |
| City | BRAIDWOOD |
| Zip Code | 60408 |
| Specialty | OPTOMETRY |
| City + Specialty | BRAIDWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Jonathan Micetich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.