Mathews, Taryn Ann
Mathews, Taryn Ann is an individual health care provider with primary practice located at 4505 82Nd St Suite 5, Lubbock TX 79424-3215. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mathews, Taryn Ann can be contacted via phone (806) 798-7244.Contact Information
Primary practice address
4505 82Nd St Suite 5
Lubbock TX 79424-3215
Phone: (806) 798-7244
Fax: (806) 798-3391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4999TG | Texas |
Profile Details
| NPI number | 1902897986 |
|---|---|
| LBN Legal business name | Mathews, Taryn Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 11th, 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 | 1902897986 | NPPES |
| New Mexico | Other | A006 | TRIWEST |
| New Mexico | Other | 84366Z | TRIWEST |
| New Mexico | Other | 64047 | TRIWEST |
| New Mexico | Other | 80318Q | TRIWEST |
| New Mexico | MEDICAID | 64047 | TRIWEST |
| New Mexico | MEDICAID | B6084 | TRIWEST |
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