King, Matthew Stephen
King, Matthew Stephen is an individual health care provider with primary practice located at 761 Boston Post Rd , Old Saybrook CT 06475-2126. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. King, Matthew Stephen can be contacted via phone (860) 388-9300.Contact Information
Primary practice address
761 Boston Post Rd
Old Saybrook CT 06475-2126
Phone: (860) 388-9300
Fax: (860) 395-2885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT2644 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 12593T | California |
Profile Details
| NPI number | 1093733347 |
|---|---|
| LBN Legal business name | King, Matthew Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1093733347 | NPPES |
| Connecticut | Other | 3539787 | AETNA |
| Connecticut | Other | P00099397 | AETNA |
| Connecticut | Other | 090002644CT01 | AETNA |
| Connecticut | Other | 2V6356 | AETNA |
| Connecticut | Other | 020644 | AETNA |
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