Conner, Matt W.

Conner, Matt W. is an individual health care provider with primary practice located at 6201 Summitview Ave Ste 101, Yakima WA 98908-3019. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Conner, Matt W. can be contacted via phone (509) 454-8850.

Contact Information

Primary practice address
6201 Summitview Ave Ste 101 Yakima WA 98908-3019
Phone: (509) 454-8850
Fax: (509) 452-3293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X WA 3338 Washington

Profile Details

NPI number 1477555704
LBN Legal business name Conner, Matt W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 8th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477555704 NPPES
Washington MEDICAID 2021970

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