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
Phone: (518) 584-2620
Fax: (518) 584-3979
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740323047 | NPPES |
| New York | MEDICAID | 00816211 |
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