Crackel, Matthew Robert

Crackel, Matthew Robert is an sole proprietor health care provider with primary practice located at 670 N Germantown Pkwy Ste 16 , Cordova TN 38018-6287. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crackel, Matthew Robert can be contacted via phone (901) 753-7909.

Contact Information

Primary practice address
670 N Germantown Pkwy Ste 16 Cordova TN 38018-6287
Fax: (901) 753-2833
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT1056 Tennessee

Profile Details

NPI number 1144361601
LBN Legal business name Crackel, Matthew Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Apr 11th, 2024 - about 2 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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