Burgess, Matthew Evan
Burgess, Matthew Evan is an individual health care provider with primary practice located at 2855 Main Ave Ste A103, Durango CO 81301-5956. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burgess, Matthew Evan can be contacted via phone (970) 382-8970.Contact Information
Primary practice address
2855 Main Ave Ste A103
Durango CO 81301-5956
Phone: (970) 382-8970
Fax: (970) 382-8966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2950 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 628 | New Mexico |
Profile Details
| NPI number | 1477702835 |
|---|---|
| LBN Legal business name | Burgess, Matthew Evan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | May 2nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477702835 | NPPES |
| New Mexico | MEDICAID | 87787857 |
Popular Providers
-
Campbell, Caitlin Jean
2855 N Main Ste A103, Durango CO 81301 -
Lew-Goltz, Joanne
1155 S Camino Del Rio , Durango CO 81303-6698 -
Huynh, Ha Thi Kim
270 E 8Th Ave Ste N101 , Durango CO 81301-5708 -
Rahner, Mark Raymond
1165 S Camino Del Rio Ste 100 , Durango CO 81303-6824 -
Miller, Mark
450 S Camino Del Rio Suite 101, Durango CO 81301-6856 -
Arneson, Gretchen
2855 Main Ave Ste A103 , Durango CO 81301-5959 -
Ash, Randy W
765 E College Dr Suite #1, Durango CO 81301-5547 -
Schroeder, Richard John
1845 Main Ave , Durango CO 81301-5035