Individual
DENNIS E MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1000
TN
152W00000X
Optometrist
675
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087009
—
MS
01
—
1000
OD LICENSE
TN
05
—
111234722
—
AR
01
—
3124319
BCBSTN
TN
05
—
316826809
—
MO
05
—
3595763
—
TN
01
—
410022830
RR MEDICARE
TN
01
—
675
OD LICENSE
MS
01
—
P01120062
RR MEDICARE
MS
Enumeration date
08/24/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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