Individual
MATTHEW S. DEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
047888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000843422F
MEDICAID- RINCON
GA
01
—
000843422G
MEDICAID - RICHMOND HILL
GA
01
—
000843422H
MEDICAID - SAVANNAH
GA
01
—
000843422I
MEDICAID - STATESBORO
GA
05
—
00843422A
—
GA
01
—
511G701032
GA MEDICARE GROUP
GA
01
—
9143
SC MEDICARE GROUP
SC
01
—
A18699143
SC MEDICARE
SC
01
—
GP5020
SC MEDICAID- BLUFFTON
SC
01
—
GPA977
SC MEDICAID
SC
Enumeration date
05/26/2006
Last updated
07/16/2025
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