NPI 1083065122 · live from the CMS NPI Registry
Matthew Thomas Boswell, OD
Optometrist in Winfield, KS. National Provider Identifier 1083065122, active.
NPI record
| NPI | 1083065122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3000 E 9th Ave, Winfield, KS 67156 |
| Practice phone | 620-221-2492 |
| Enumerated | June 30, 2016 |
| Last updated | October 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2022 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.