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NPI Code Detail

MEDICARE: MATTHEW COY BARNES

MEDICARE:   MATTHEW COY BARNES
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
1156FX1800XOpticianSC-6813OH

General Provider Information

NPI Number : 1770805418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW COY BARNES
Provider Business Mailing Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-794-0203
Fax Number :
Provider Business Practice Location Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-794-0203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 10/06/2014

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Directions to “ MATTHEW COY BARNES ” Practice Location

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