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Contact Information

TYLER W MATHENIA
514 WARRENTON COUNTY CENTER
WARRENTON, MO63383
 Phone: 636-377-2054
 Fax: 636-377-2056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TYLER W MATHENIA · (Male)

NPI Number 1033895131
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2023
Last updated 06/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2023021529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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