Individual
DR. JAY STUART MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 N INTERSTATE 35 E, LANCASTER, TX 75146-1844
(972) 223-7220
Mailing address
2550 W FM 875, MIDLOTHIAN, TX 76065-5916
(972) 775-1663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX3661T
TX
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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