MEDICARE: AMY CATALANO OD LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316239981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY CATALANO OD LLC

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	:	OPTOMETRIST/OWNER
Name	:	DR. AMY J CATALANO
Credential	:	O.D.
Telephone Number	:	781-821-1224

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	11/02/2020

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