Phan, Matthew

Phan, Matthew is an individual health care provider with primary practice located at 138 Gateway St , Beaumont TX 77701-3706. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phan, Matthew can be contacted via phone (409) 835-2041.

Contact Information

Primary practice address
138 Gateway St Beaumont TX 77701-3706
Phone: (409) 835-2041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8685 Texas

Profile Details

NPI number 1073993606
LBN Legal business name Phan, Matthew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Apr 28th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073993606 NPPES
Other 1073993606 NPI

Popular Providers