Individual provider Active NPI

Richard S. Kattouf, O.D., D.O.S

  • Corneal and Contact Management Optometrist
  • Warren, OH
National Provider Identifier
1881999571
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3031 Issued in OH
Practice address
8133 E Market St
Warren, OH 44484-2256
Phone
(330) 219-5094
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3031 OH Primary

Addresses

Primary practice location

8133 E Market St
Warren, OH 44484-2256

Mailing address

22321 Kenwood Isle Dr
Bonita Springs, FL 34135-7244
Phone (330) 219-5094

Other identifiers 1

IdentifierTypeStateIssuer
931TOtherOHTHERAPEUTIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3031OHMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1881999571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22321 KENWOOD ISLE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357244",
            "telephone_number": "330-219-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842256",
            "telephone_number": "330-219-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTOUF",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D., D.O.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC",
            "identifier": "931T",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.