Vizithum, Matthew David
Vizithum, Matthew David is an individual health care provider with primary practice located at 200 W Weaver St Suite 1, Carrboro NC 27510-6009. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vizithum, Matthew David can be contacted via phone (919) 968-6300.Contact Information
Primary practice address
200 W Weaver St Suite 1
Carrboro NC 27510-6009
Phone: (919) 968-6300
Fax: (919) 968-0403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1725 | North Carolina |
Profile Details
| NPI number | 1578584371 |
|---|---|
| LBN Legal business name | Vizithum, Matthew David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Apr 19th, 2012 - about 12 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 | 1578584371 | NPPES |
| North Carolina | MEDICAID | 89093K8 | |
| North Carolina | Other | 396884 | |
| North Carolina | Other | 1873183 |
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