Stanley, Matthew Thomas
Stanley, Matthew Thomas is an individual health care provider with primary practice located at 1640 Charles Pl Ste 103 , Manhattan KS 66502-2868. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stanley, Matthew Thomas can be contacted via phone (785) 776-9461.Contact Information
Primary practice address
1640 Charles Pl Ste 103
Manhattan KS 66502-2868
Phone: (785) 776-9461
Fax: (785) 776-9946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1757 | Kansas |
Profile Details
| NPI number | 1083636492 |
|---|---|
| LBN Legal business name | Stanley, Matthew Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 11th, 2022 - about 4 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 | 1083636492 | NPPES |
| Kansas | MEDICAID | 200406160B |
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