Individual
DR. CHARLES RICHARD MATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1022 NW 6TH ST., GRANTS PASS, OR 97526
(541) 476-4545
(541) 479-5985
Mailing address
1022 NW 6TH ST., GRANTS PASS, OR 97526
(541) 476-4545
(541) 479-5985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1185ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122960
—
OR
Enumeration date
10/02/2006
Last updated
03/07/2023
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