MEDICARE: DR. AMY J CATALANO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4402	MA

General Provider Information

NPI Number	:	1164456729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY J CATALANO O.D.

Provider Business Mailing Address
First Line	:	95 WASHINGTON ST STE 466
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-4008
Country	:	US
Telephone Number	:	781-821-1224
Fax Number	:	877-992-0275

Provider Business Practice Location Address
First Line	:	95 WASHINGTON ST STE 466
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-4008
Country	:	US
Telephone Number	:	781-821-1224
Fax Number	:	877-992-0275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/02/2020

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