Bruce P Mathie

NPI #1497934764 in Louisville, Ohio

Provider Information

NPI Number: 1497934764
Entity Type: Organization
Organization Name: Bruce P Mathie
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2007
Last Updated: Dec 22, 2008

Practice Location

Address: 1403 W MAIN ST
City: Louisville
State: Ohio
ZIP Code: 44641-2310
Phone: (330) 875-4320

Authorized Official

Name: BRUCE P MATHIE, OD
Title: OWNER
Phone: (330) 875-4320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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