Provider Demographics
NPI:1922841659
Name:CATT, WILLIAM DAVID (ABOC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:CATT
Suffix:
Gender:M
Credentials:ABOC
Other - Prefix:MR
Other - First Name:BILL
Other - Middle Name:DAVID
Other - Last Name:CATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ABOC
Mailing Address - Street 1:6821 MEADOWBREEZE PKWY
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2737
Mailing Address - Country:US
Mailing Address - Phone:361-244-4698
Mailing Address - Fax:
Practice Address - Street 1:6821 MEADOWBREEZE PKWY
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2737
Practice Address - Country:US
Practice Address - Phone:361-244-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254275156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician