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Contact Information

MATTHEW E BURGESS, OD
2855 MAIN AVE
STE A103
DURANGO, CO81301-5956
 Phone: 970-382-8970
 Fax: 970-382-8966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MATTHEW E BURGESS · (Male)

NPI # 1477702835
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/10/2008
Last updated 05/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 2950
  • NM License # 628
  • NM Medicaid 87787857
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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