NPI 1679648653 · live from the CMS NPI Registry
David Thomas Matusiewicz, O.D.
Optometrist in Newark, DE. National Provider Identifier 1679648653, active.
NPI record
| NPI | 1679648653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 317 E Main St, Newark, DE 19711 |
| Practice phone | 302-737-5777 |
| Enumerated | November 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I3-0001202 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.