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NPI Code Detail

MEDICARE: DR. MATTHEW RYAN COX OD

MEDICARE: DR. MATTHEW RYAN COX 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
1152W00000XOptometrist2407NC

General Provider Information

NPI Number : 1548654551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW RYAN COX OD
Provider Business Mailing Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 910-395-2772
Fax Number : 910-799-9170
Provider Business Practice Location Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 910-395-2772
Fax Number : 910-799-9170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 03/27/2015

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