Mathie, Bruce P

Mathie, Bruce P is an sole proprietor health care provider with primary practice located at 4865 Frank Ave Nw , North Canton OH 44720-7425. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mathie, Bruce P can be contacted via phone (330) 494-1710.

Contact Information

Primary practice address
4865 Frank Ave Nw North Canton OH 44720-7425
Phone: (330) 494-1710
Fax: (330) 494-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4803 Ohio

Profile Details

NPI number 1881685667
LBN Legal business name Mathie, Bruce P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Dec 10th, 2020 - about 6 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 1881685667 NPPES
Ohio Other 000000223574 ANTHEM BLUE CROSS BLUE SH
Ohio MEDICAID 2039127 ANTHEM BLUE CROSS BLUE SH
Ohio Other OH4803 ANTHEM BLUE CROSS BLUE SH
Ohio Other 2708610 ANTHEM BLUE CROSS BLUE SH

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