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Contact Information

MARK W MATHEWS
8319 EMBASSY BLVD
PORT RICHEY, FL34668
 Phone: 727-819-0440
 Fax: 727-819-9795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK W MATHEWS · (Male)

NPI Number 1275560435
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2006
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OPC1388
  • FL Medicaid 084932400
  • Other 232279 AMERIGROUP
  • Other 110527 ECPA-EYE MED
  • Other 33801 GROUP BCBS
  • Other 19872 INDIVIDUAL BCBS
  • Other 0763230001 PALMETTO
  • Other 410022395 RAILROAD MEDICARE
  • FL Other 1275560435 MEDICARE NPI
  • FL Other 410022395 RAILROAD GROUP MEMBER PTAN
  • FL Other 1518098102 RAILROAD GROUP NPI
  • FL Other DN0867 RAILROAD GROUP PTAN
  • FL Other 1275560435 RAILROAD INDIVIDUAL NPI
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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