Gifford, Matthew W

Gifford, Matthew W is an sole proprietor health care provider with primary practice located at 2158 N Damen Ave , Chicago IL 60647-9597. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gifford, Matthew W can be contacted via phone (773) 368-6471.

Contact Information

Primary practice address
2158 N Damen Ave Chicago IL 60647-9597
Phone: (773) 368-6471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 046-009054 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 046-009054 Illinois

Profile Details

NPI number 1396834602
LBN Legal business name Gifford, Matthew W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Feb 11th, 2020 - about 4 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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