MEDICARE: DR. GILBERT SEAN CATINO OD

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	1856	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410049403	OTHER	NC	RR MEDICARE INDIVIDUAL #
3	410049401	OTHER	NC	RR MEDICARE INDIVIDUAL #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	093MM	OTHER	NC	BCBS PROV #

General Provider Information

NPI Number	:	1376543579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERT SEAN CATINO OD

Provider Business Mailing Address
First Line	:	8116 MARKET ST
Second Line	:	SUITE 100
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9386
Country	:	US
Telephone Number	:	910-686-8000
Fax Number	:	910-686-8077

Provider Business Practice Location Address
First Line	:	8116 MARKET ST
Second Line	:	SUITE 100
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9386
Country	:	US
Telephone Number	:	910-686-8000
Fax Number	:	910-686-8077

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/27/2014

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Directions to “ DR. GILBERT SEAN CATINO OD” Practice Location

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