Stephen Ansel Matthews OD

NPI 1013114255 - Optometrist - 152W00000X

NPI Details
NPI 1013114255
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1427 W 86TH ST PMB 147
INDIANAPOLIS IN, 46260-2103, US
Phone (317) 879-7215
Fax
Business Location
1427 W 86TH ST PMB 147
INDIANAPOLIS IN, 46260-2103, US
Phone (317) 879-7215
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001489B
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According to our database, Dr. Stephen Ansel Matthews OD NPI is 1013114255, taxonomy code is 152W00000X and license number is 18001489B, license state is located at Indiana. Stephen Ansel Matthews OD physically located at 1427 W 86th St Pmb 147, Indianapolis IN, 46260-2103. NPI Number Stephen Ansel Matthews OD has the Individual type.

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1013114255 NPI number is provided on an as is basis without warranty of any kind. 1013114255 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Ansel Matthews OD are for informational purposes only.