MEDICARE: DR. MATTHEW RICHARD SHARPE MD

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	207W00000X	Ophthalmology Physician	35070667	OH
2	207W00000X	Ophthalmology Physician	Q2062	TX
3	207W00000X	Ophthalmology Physician	MD00046132	WA

General Provider Information

NPI Number	:	1891818035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW RICHARD SHARPE MD

Provider Business Mailing Address
First Line	:	3025 112TH AVE NE STE 200
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-8002
Country	:	US
Telephone Number	:	425-451-2020
Fax Number	:	425-450-9696

Provider Business Practice Location Address
First Line	:	3025 112TH AVE NE STE 200
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-8002
Country	:	US
Telephone Number	:	425-451-2020
Fax Number	:	425-450-9696

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	01/30/2023

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