Individual
DR. DAVID JEFFREY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3928 ROSEWOOD DR, COLUMBIA, SC 29205-3536
(803) 787-0107
(803) 787-0109
Mailing address
PO BOX 50367, COLUMBIA, SC 29250-0367
(803) 787-0107
(803) 787-0109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1034
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005811543
ETNA / OWENS CORNING
—
01
—
410035583
RAILROAD MEDICARE
SC
05
—
D10343
—
SC
Enumeration date
08/31/2006
Last updated
07/08/2007
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