Olson, Matthew
Olson, Matthew is an individual health care provider with primary practice located at 466 S Trimble Rd , Mansfield OH 44906-3416. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olson, Matthew can be contacted via phone (419) 756-8000.Contact Information
Primary practice address
466 S Trimble Rd
Mansfield OH 44906-3416
Phone: (419) 756-8000
Fax: (419) 756-2601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6800 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.006800 | Ohio |
Profile Details
| NPI number | 1821657198 |
|---|---|
| LBN Legal business name | Olson, Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Apr 26th, 2021 - about 5 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 | 1821657198 | NPPES |
| Ohio | MEDICAID | 0362050 |
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