Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Edward Micetich, OD

Individual provider Optometrist · NPI 1740273754

Dr. Jonathan Edward Micetich, OD is an Optometry in Coal City, Illinois. Graduated from Illinois College of Optometry at Chicago in 1996, 30 years ago. Practices with Myeyedr Optometry of Illinois LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

20 E North St
Coal City, IL 60416-1087
Phone: (815) 634-4825
Fax: (815) 634-4938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046008925 (IL)

Record details

NPI number1740273754
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 24, 2005
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1996 (30 years in practice)
Group practice Myeyedr Optometry Of Illinois Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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