Mather, Mark E

Mather, Mark E is an individual health care provider with primary practice located at 1700 Park Ave , Muscatine IA 52761-5434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mather, Mark E can be contacted via phone (563) 263-2020.

Contact Information

Primary practice address
1700 Park Ave Muscatine IA 52761-5434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1626 Iowa

Profile Details

NPI number 1750385159
LBN Legal business name Mather, Mark E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 18th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750385159 NPPES
Iowa MEDICAID 4047431
Iowa MEDICAID 3047431

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