Conner, Matt W.
Conner, Matt W. is an individual health care provider with primary practice located at 6201 Summitview Ave Ste 101, Yakima WA 98908-3019. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Conner, Matt W. can be contacted via phone (509) 454-8850.Contact Information
Primary practice address
6201 Summitview Ave Ste 101
Yakima WA 98908-3019
Phone: (509) 454-8850
Fax: (509) 452-3293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | WA 3338 | Washington |
Profile Details
| NPI number | 1477555704 |
|---|---|
| LBN Legal business name | Conner, Matt W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Feb 8th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477555704 | NPPES |
| Washington | MEDICAID | 2021970 |
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