Individual
MATTHEW HOWARD VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1285 SO US #1, ROCKLEDGE, FL 32955
(321) 631-2811
(321) 631-0624
Mailing address
1285 SO US #1, ROCKLEDGE, FL 32955
(321) 631-2811
(321) 631-0624
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1365
FL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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