Individual
DR. MATTHEW B BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
810 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 287-3333
(574) 287-9999
Mailing address
810 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 287-3333
(574) 287-9999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002552B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100409990
—
IN
Enumeration date
10/05/2005
Last updated
03/17/2018
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