Mathie, Brian M

Mathie, Brian M is an individual health care provider with primary practice located at 5890 Mayfair Rd , Canton OH 44720-1547. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mathie, Brian M can be contacted via phone (330) 305-2200.

Contact Information

Primary practice address
5890 Mayfair Rd Canton OH 44720-1547
Phone: (330) 305-2200
Fax: (330) 305-2210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4213 Ohio

Profile Details

NPI number 1013953116
LBN Legal business name Mathie, Brian M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013953116 NPPES
Other 001301628 KEYSTONE HEALTH/HIGHMARK
Other 000000203490 KEYSTONE HEALTH/HIGHMARK
MEDICAID 0844779 KEYSTONE HEALTH/HIGHMARK
Other 1404675 KEYSTONE HEALTH/HIGHMARK
Other 4384872 KEYSTONE HEALTH/HIGHMARK

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