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Contact Information

MARK A MATHEWS, OD
218 S. FRONT ST
FREMONT, OH43420
 Phone: 419-332-4309
 Fax: 419-332-3834
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI # 1376500231
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/26/2006
Last updated 09/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 3680T871
  • OH Medicaid 0545020
  • OH Other 410047929 MEDICARE RAILROAD
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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