Mattson, Andrew
Mattson, Andrew is an individual health care provider with primary practice located at 17690 Kenwood Trl , Lakeville MN 55044-9764. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mattson, Andrew can be contacted via phone (952) 898-9588.Contact Information
Primary practice address
17690 Kenwood Trl
Lakeville MN 55044-9764
Phone: (952) 898-9588
Fax: (952) 898-2030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | LD 2823000 | Minnesota |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | LD 2823000 | Minnesota |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | LD 2823000 | Minnesota |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | LD 2823000 | Minnesota |
Profile Details
| NPI number | 1518037563 |
|---|---|
| LBN Legal business name | Mattson, Andrew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jun 2nd, 2011 - about 13 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 | 1518037563 | NPPES |
| Minnesota | Other | 22-03175 | UNITED HEALTH CARE |
| Minnesota | MEDICAID | 176625200 | UNITED HEALTH CARE |
| Minnesota | Other | 202779692 | UNITED HEALTH CARE |
| Minnesota | Other | 22-03175 | UNITED HEALTH CARE |
| Minnesota | Other | 500R7MA | UNITED HEALTH CARE |
| Minnesota | Other | HP36326 | UNITED HEALTH CARE |
| Minnesota | Other | 79G34LA | UNITED HEALTH CARE |
| Minnesota | Other | 202779692 | UNITED HEALTH CARE |
| Minnesota | Other | A61971031584 | UNITED HEALTH CARE |
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