Active NPI
Richard S. Kattouf, O.D., D.O.S
- Corneal and Contact Management Optometrist
- Warren, OH
National Provider Identifier
1881999571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 931T | Other | OH | THERAPEUTIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3031 | OH | MD | Psychologist |
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.