Mattison, Gerald G

Mattison, Gerald G is an sole proprietor health care provider with primary practice located at 206 Lake Ave , Saratoga Springs NY 12866-2627. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mattison, Gerald G can be contacted via phone (518) 584-2620.

Contact Information

Primary practice address
206 Lake Ave Saratoga Springs NY 12866-2627
Fax: (518) 584-3979
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004160-1 New York

Profile Details

NPI number 1740323047
LBN Legal business name Mattison, Gerald G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated May 4th, 2020 - about 4 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 1740323047 NPPES
New York MEDICAID 00816211

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