Oblad, Matthew Woodruff

Oblad, Matthew Woodruff is an individual health care provider with primary practice located at 112 N Akers St Suite A, Visalia CA 93291-5121. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Oblad, Matthew Woodruff can be contacted via phone (559) 733-4372.

Contact Information

Primary practice address
112 N Akers St Suite A Visalia CA 93291-5121
Phone: (559) 733-4372
Fax: (559) 733-1758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 12847 TPA California
Eye and Vision Services Providers / Optometrist 152W00000X 1510 Arizona

Profile Details

NPI number 1366472938
LBN Legal business name Oblad, Matthew Woodruff
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1366472938 NPPES
California Other D3912075 DRIVERS LICENSE NUMBER
California MEDICAID GSD005170 DRIVERS LICENSE NUMBER
California Other 73-1728125 DRIVERS LICENSE NUMBER
California Other SD0128470 DRIVERS LICENSE NUMBER
California MEDICAID SD0128470 DRIVERS LICENSE NUMBER

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