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Contact Information

MATTHEW P AXLINE, OD OPTOMETRIST
905 S POPLAR ST
BUCYRUS, OH44820-2663
 Phone: 419-562-3822
 Fax: 419-562-9939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MATTHEW P AXLINE · (Male)

NPI Number 1811003957
Status Active
Credentials OD OPTOMETRIST
Entity Individual
Enumeration date 08/22/2006
Last updated 05/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 5520
  • OH Medicaid 2522121
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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