Individual
MATTHEW THOMAS BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3000 E 9TH AVE, WINFIELD, KS 67156-3439
(620) 221-2492
(620) 221-2015
Mailing address
3000 E 9TH AVE, WINFIELD, KS 67156-3439
(620) 221-2015
(620) 221-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004639110001
—
KS
Enumeration date
06/30/2016
Last updated
10/24/2022
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