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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1417951872 | NPPES |
| New York | MEDICAID | 01960892 |
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