Grucella, Matthew David
Grucella, Matthew David is an individual health care provider with primary practice located at 1333 N Carpenter Rd , Brunswick OH 44212-3178. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grucella, Matthew David can be contacted via phone (330) 741-3407.Contact Information
Primary practice address
1333 N Carpenter Rd
Brunswick OH 44212-3178
Phone: (330) 741-3407
Fax: (330) 741-4037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5309 | Ohio |
Profile Details
| NPI number | 1861596884 |
|---|---|
| LBN Legal business name | Grucella, Matthew David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Nov 4th, 2019 - about 5 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 | 1861596884 | NPPES |
| Ohio | MEDICAID | 2345939 |
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