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J. MICETICH, OD & ASSOCIATES FAMILY EYE CARE CENTER P C
NPI 1093832008
Optometrist in Coal City, IL

Active since March 23, 2007
20 E NORTH ST, COAL CITY, IL 60416(815) 634-4825 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J. Micetich, Od & Associates Family Eye Care Center P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J. MICETICH, OD & ASSOCIATES FAMILY EYE CARE CENTER P C (NPI 1093832008) is a healthcare organization registered as an optometrist in Coal City, Illinois and active in the NPI registry since March 2007. The organization lists Jonathan Edward Micetich, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1093832008
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJ. MICETICH, OD & ASSOCIATES FAMILY EYE CARE CENTER P C
Location Address20 E NORTH STCoal City, IL 60416-1087
Mailing Address2920 Gateway GorgeMorris, IL 60450-9771 · (815) 634-4825
Phone(815) 634-4825
Organization SubpartNo
Authorized OfficialJonathan Edward MicetichOptometrist · (815) 634-4825
Enumeration DateMarch 23, 2007
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1093832008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046-008925
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
20 E NORTH ST, Coal City, IL 60416
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Other Identifiers 7

Other1740273754IL · Personal Npi
Medicare PINIL4589
Medicare NSC5075840001IL
Other410047901Railroad Medicare Group Member Ptan
Medicaid046008925IL
OtherDR0848Railroad Medicare Group Ptan
Other03232003IL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA HELEN SIMPSON O. D.
Optometrist
20 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4825
DR. ANDREA PARADESI O.D.
Optometrist
20 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4825
DR. JENNIFER WAI-LING CHU O.D.
Optometrist
20 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4825
ABIGAIL RENE NORRIS
Optometrist
20 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4825
MYEYEDR OPTOMETRY OF ILLINOIS, LLC
Optometrist
20 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J. Micetich, Od & Associates Family Eye Care Center P C's NPI number?

The NPI number for J. Micetich, Od & Associates Family Eye Care Center P C is 1093832008. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is J. Micetich, Od & Associates Family Eye Care Center P C located?

J. Micetich, Od & Associates Family Eye Care Center P C is located at 20 E North St, Coal City, IL 60416. The listed phone number is (815) 634-4825.

What is J. Micetich, Od & Associates Family Eye Care Center P C's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for J. Micetich, Od & Associates Family Eye Care Center P C was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.