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Individual

DR. MATTHEW LAURENCE DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
142 E CHICAGO RD, COLDWATER, MI 49036-8449
(517) 279-7927
(517) 278-3393
Mailing address
142 E CHICAGO RD, COLDWATER, MI 49036-8449
(517) 279-7927
(517) 278-3393

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004997
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18004563A
LICENCE
IN
01
4901004997
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
01
T6926
OHIO VISION PROFESSIONALS BOARD
OH
Enumeration date
06/27/2016
Last updated
04/02/2026
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