Individual
DR. MATTHEW JAMES BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 COUNTRY CLUB DR NE, CONCORD, NC 28025-2935
(704) 786-7600
(704) 792-2131
Mailing address
113 COUNTRY CLUB DR NE, CONCORD, NC 28025-2935
(704) 786-7600
(704) 792-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093U4
BCBS OF NC
NC
05
—
5904045
—
NC
01
—
NC2008
EYE MED
NC
Enumeration date
06/07/2006
Last updated
03/10/2017
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