MEDICARE: MATOUS OPTICIANS, INC.

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
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1538371026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATOUS OPTICIANS, INC.

Provider Business Mailing Address
First Line	:	1130 PERRY HIGHWAY
Second Line	:	RM. 102
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2142
Country	:	US
Telephone Number	:	412-364-1983
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 PERRY HIGHWAY
Second Line	:	RM. 102
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2142
Country	:	US
Telephone Number	:	412-364-1983
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS MICHAEL BARRETT
Credential	:
Telephone Number	:	412-364-1983

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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Directions to “MATOUS OPTICIANS, INC. ” Practice Location

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