Chan, Matthew Kirk
Chan, Matthew Kirk is an sole proprietor health care provider with primary practice located at 4669 Clayton Rd Ste C , Concord CA 94521-2964. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chan, Matthew Kirk can be contacted via phone (925) 825-3900.Contact Information
Primary practice address
4669 Clayton Rd Ste C
Concord CA 94521-2964
Phone: (925) 825-3900
Fax: (925) 676-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6180T | California |
Profile Details
| NPI number | 1649347980 |
|---|---|
| LBN Legal business name | Chan, Matthew Kirk |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jan 24th, 2022 - about 4 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 | 1649347980 | NPPES |
| California | MEDICAID | SD0061800 |
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