Laurie, Matthew Philip
Laurie, Matthew Philip is an sole proprietor health care provider with primary practice located at 12120 S Strang Line Rd , Olathe KS 66062-5219. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Laurie, Matthew Philip can be contacted via phone (913) 307-9200.Contact Information
Primary practice address
12120 S Strang Line Rd
Olathe KS 66062-5219
Phone: (913) 307-9200
Fax: (913) 307-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | KS1599 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2000166654 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3482 | Florida |
Profile Details
| NPI number | 1073559274 |
|---|---|
| LBN Legal business name | Laurie, Matthew Philip |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Dec 8th, 2009 - about 15 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 | 1073559274 | NPPES |
| Kansas | MEDICAID | 100423680A |
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