Mooney, Matthew Lutes
Mooney, Matthew Lutes is an sole proprietor health care provider with primary practice located at 223 Delaina Dr Suite B, Mt Washington KY 40047-7148. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mooney, Matthew Lutes can be contacted via phone (502) 593-7894.Contact Information
Primary practice address
223 Delaina Dr Suite B
Mt Washington KY 40047-7148
Phone: (502) 593-7894
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1714DT | Kentucky |
Profile Details
| NPI number | 1518166610 |
|---|---|
| LBN Legal business name | Mooney, Matthew Lutes |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jun 16th, 2008 - about 16 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 | 1518166610 | NPPES |
| Kentucky | MEDICAID | 7100018320 |
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