Individual
JONATHAN D MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1987 N CARSON ST, STE 5, CARSON CITY, NV 89701-1262
(775) 883-2015
(775) 359-2676
Mailing address
1987 N CARSON ST, STE 5, CARSON CITY, NV 89701-1262
(775) 359-2020
(775) 359-2676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
776
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245540046
—
NV
Enumeration date
10/14/2010
Last updated
08/28/2013
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