Individual
DR. CLAY S MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1024 N MAIN ST, NICHOLASVILLE, KY 40356-2311
(859) 881-5444
(859) 881-3180
Mailing address
425 LANTANA PARK, LEXINGTON, KY 40515-5130
(859) 881-5444
(859) 881-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1494DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380440
BLUE CROSS BLUE SHIELD
KY
05
—
770000735
—
KY
Enumeration date
08/15/2006
Last updated
11/30/2010
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