Matthews, John Harold

Matthews, John Harold is an sole proprietor health care provider with primary practice located at 725 Campbellsville Byp , Campbellsville KY 42718-8846. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Matthews, John Harold can be contacted via phone (270) 274-4144.

Contact Information

Primary practice address
725 Campbellsville Byp Campbellsville KY 42718-8846
Fax: (270) 274-2176
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1518DT Kentucky

Profile Details

NPI number 1235153404
LBN Legal business name Matthews, John Harold
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jun 16th, 2018 - about 7 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 1235153404 NPPES
Kentucky Other 001511979 HIGHMARK
Kentucky Other 22555 HIGHMARK
Kentucky Other 000000340031 HIGHMARK
Kentucky Other 140639321615 HIGHMARK
Kentucky MEDICAID 77000594 HIGHMARK

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