Individual
DR. BRUCE P MATHIE
Active
Individual
DR. BRUCE P MATHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223574
ANTHEM BLUE CROSS BLUE SH
OH
05
—
2039127
—
OH
01
—
2708610
AETNA
OH
01
—
OH4803
EYEMED
OH
Enumeration date
11/02/2005
Last updated
12/10/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up