Individual
JOHN PAUL MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
115 S ADAMS ST, SAN ANGELO, TX 76901-4101
(325) 653-2383
(325) 655-4783
Mailing address
115 S ADAMS ST, SAN ANGELO, TX 76901-4101
(325) 653-2383
(325) 655-4783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2739T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E52J
BCBS
TX
05
—
093287301
—
TX
Enumeration date
06/13/2006
Last updated
07/08/2007
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