Brodak, Matthew
Brodak, Matthew is an sole proprietor health care provider with primary practice located at 9673 Lost Knife Rd , Gaithersburg MD 20877-2622. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brodak, Matthew can be contacted via phone (301) 330-4265.Contact Information
Primary practice address
9673 Lost Knife Rd
Gaithersburg MD 20877-2622
Phone: (301) 330-4265
Fax: (301) 963-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA1115 | Maryland |
Profile Details
| NPI number | 1477727055 |
|---|---|
| LBN Legal business name | Brodak, Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Nov 21st, 2018 - about 8 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 | 1477727055 | NPPES |
| Maryland | MEDICAID | 214308900 |
Popular Providers
-
Oei, Armand
880 Russell Ave , Gaithersburg MD 20879-3506 -
Singh, Nirmala
271 Kentlands Blvd , Gaithersburg MD 20878-5446 -
Niazi, Homa Julie
701 Russell Ave Lenscrafters, Lakeforest Mall, Gaithersburg MD 20877-2631 -
Rogers, Daniel
631 N Frederick Ave , Gaithersburg MD 20879-3306 -
Srun, Thomas
20414 Sawgrass Dr , Gaithersburg MD 20886-4597 -
Rubin, Adam Paul
18310 Montgomery Village Ave Ste 140 , Gaithersburg MD 20879-3556 -
Heyman, Paul
702 Russell Ave Suite 105, Gaithersburg MD 20877-2606 -
Lund, Mark Steven
6 Grand Corner Ave , Gaithersburg MD 20878-7303