Individual
JOHN HAROLD MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
(270) 274-4144
(270) 274-2176
Mailing address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
(270) 465-3669
(270) 789-0643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1518DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340031
ANTHEM
KY
01
—
001511979
HIGHMARK
KY
01
—
140639321615
HUMANA
KY
01
—
22555
SPECTERA
KY
05
—
77000594
—
KY
Enumeration date
07/27/2006
Last updated
06/16/2018
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