Individual
MATTHEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
928 VALLEY VIEW DR, STE 17, COUNCIL BLUFFS, IA 51503-5288
(712) 256-8898
(712) 256-0419
Mailing address
928 VALLEY VIEW DR, STE 17, COUNCIL BLUFFS, IA 51503-5288
(712) 256-8898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1357
NE
152W00000X
Optometrist
Primary
2508
IA
Other
Enumeration date
08/09/2010
Last updated
11/22/2021
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