Bradly Greg Mathew in League City - Optometrist
Bradly Greg Mathew - NPI 1770606899
Bradly Greg Mathew is a Optometrist in League City, Texas. Bradly Greg Mathew practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradly Greg Mathew is 1770606899. The last update date is 2023-02-13.
Bradly Greg Mathew's current location address is 192 Gulf Fwy S, League City, Texas. You can contact this provider via phone number 2815547080. The mailing address for Bradly Greg Mathew is 192 Gulf Fwy S, League City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradly Greg Mathew |
|---|---|
| Address | 192 Gulf Fwy S, League City, Texas |
| Phone Number | 2815547080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D |
NPI Number Detail
| NPI Number | 1770606899 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2023-02-13 |
Provider Mailing Address Detail
| Address | 192 Gulf Fwy S |
|---|---|
| City | League City |
| State | Texas (TX) |
| Post Code | 775733969 |
| Phone Number | 2815547080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6940TG |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11748879 | CAQH |
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What is the unique identifier code issued to Bradly Greg Mathew by the Centers for Medicare & Medicaid Services?
The Bradly Greg Mathew has been assigned the NPI (National Provider Identifier) 1770606899. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradly Greg Mathew?
The Bradly Greg Mathew is situated at 192 Gulf Fwy S, in the city of League City, state of TX, with the zip code 775733969.
What is the Bradly Greg Mathew's specialty and taxonomy code?
The Bradly Greg Mathew's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Bradly Greg Mathew receive the assignment of its 1770606899 from the Centers for Medicare & Medicaid Services?
The Bradly Greg Mathew was issued its 1770606899 by the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details related to Bradly Greg Mathew most recently updated or revised?
The information pertaining to Bradly Greg Mathew, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-13.
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