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Contact Information

BRUCE P MATHIE
1403 W MAIN ST
LOUISVILLE, OH44641-2310
 Phone: 330-875-4320
 Fax: 330-875-4305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRUCE P MATHIE · (Female)

NPI # 1497934764
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2007
Last updated 12/22/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 4803
  • OH Medicaid 2039127
  • OH Other 2708610 AETNA
  • OH Other 000000223574 ANTHEM
  • OH Other 297661819005 MEDICAL MUTUAL
  • OH Other 410048659 RAILRODE MEDICARE
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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