Durkin, Matthew R

Durkin, Matthew R is an individual health care provider with primary practice located at 8395 Oswego Rd Malara Eyecare And Eyewear Gallery, Baldwinsville NY 13027-6801. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Durkin, Matthew R can be contacted via phone (315) 622-3500.

Contact Information

Primary practice address
8395 Oswego Rd Malara Eyecare And Eyewear Gallery Baldwinsville NY 13027-6801
Phone: (315) 622-3500
Fax: (315) 622-3522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV006167-1 New York

Profile Details

NPI number 1417951872
LBN Legal business name Durkin, Matthew R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 20th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417951872 NPPES
New York MEDICAID 01960892

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