NPI 1609004308 · live from the CMS NPI Registry
Matthew J Dykhuizen, M.D.
Ophthalmology in Crestview Hills, KY. National Provider Identifier 1609004308, active.
NPI record
| NPI | 1609004308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2865 Chancellor Dr, Suite 215, Crestview Hills, KY 41017 |
| Practice phone | 859-344-2079 |
| Mailing address | 2865 Chancellor Dr, Ste 215, Crestview Hills, KY 41017 |
| Enumerated | July 1, 2009 |
| Last updated | November 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 35.128411 (OH) |
| Ophthalmology, Retina Specialist | 207WX0107X | 46137 (KY) |
| Ophthalmology, Retina Specialist | 207WX0107X | 35.128411 (OH) |
| Ophthalmology primary | 207W00000X | 46137 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.