Blaydon, Sean Matthew
Blaydon, Sean Matthew is an individual health care provider with primary practice located at 3705 Medical Pkwy Suite 120, Austin TX 78705-1019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Blaydon, Sean Matthew can be contacted via phone (512) 458-2141.Contact Information
Primary practice address
3705 Medical Pkwy Suite 120
Austin TX 78705-1019
Phone: (512) 458-2141
Fax: (512) 458-4824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | K4374 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | K4374 | Texas |
Profile Details
| NPI number | 1730170622 |
|---|---|
| LBN Legal business name | Blaydon, Sean Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 13th, 2022 - about 3 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 | 1730170622 | NPPES |
| Texas | MEDICAID | 047566701 |
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