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Individual
DR. STEVEN M. MATHEWS
Active
Individual
DR. STEVEN M. MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7483T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82541Q
BLUE SHIELD
TX
01
—
S4605
N M MEDICAID
NM
Enumeration date
10/31/2005
Last updated
06/27/2019
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