Matus, Martin M

Matus, Martin M is an sole proprietor health care provider with primary practice located at 1131 S Arlington Heights Rd , Arlington Hts IL 60005-3140. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Matus, Martin M can be contacted via phone (847) 290-1131.

Contact Information

Primary practice address
1131 S Arlington Heights Rd Arlington Hts IL 60005-3140
Fax: (847) 290-1146
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1609872076
LBN Legal business name Matus, Martin M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872076 NPPES
Illinois Other 01636282 BLUE CROSS / BLUE SHIELD

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