Bruce Terry Katz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006345 Issued in IL

Practice address

3541 W 95TH St
Evergreen Park, IL 60805-2135

Phone

(708) 425-4162

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 95TH Vision Center LLC

  • Optometrist
  • Evergreen Park, IL
  • NPI 1487203980
  NPD (past)
• Gel M Gowin,Inc.

  • Eyewear Supplier
  • Evergreen Park, IL
  • NPI 1225351471
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1972693489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 N WILSHIRE LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041751",
            "telephone_number": "847-398-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052135",
            "telephone_number": "708-425-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "BRUCE",
        "middle_name": "TERRY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Rose Kane
• Ajita V. Kasbekar, M.D.
• Constance Patricia Kass
• Ibrahim Kassas, M.D.
• Kathy Abbott PSYD PC
• Brenna Keaty, DPT
• Kedzie Medical Associates LTD
• Kedzie Medical Associates,LTD
• Michelle Marie Keller
• Brian Lee Kelley, LCPC

• Optometrist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.