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NPI Code Detail

MEDICARE: DR. MATTHEW U NEAL OD

MEDICARE: DR. MATTHEW U NEAL OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5232OH
2152W00000XOptometristT2136OH
3152W00000XOptometrist2778CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000230319OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4022171OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1518930064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW U NEAL OD
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8383 W ALAMEDA AVE
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3007
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 06/14/2021

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