Individual
MR. MATTHEW BASHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3990 N COLLINS ST STE 102, ARLINGTON, TX 76005-4580
(817) 261-2020
(817) 261-2262
Mailing address
6702 KINGSHOLLOW DR, DALLAS, TX 75248-2923
(972) 385-7050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3315-T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093450702
—
TX
01
—
35787
DAVIS VISION
TX
01
—
900917
BLOCK VISION
TX
Enumeration date
10/06/2006
Last updated
09/02/2025
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