| Bruce P Mathie | |
|
1403 W Main St, Louisville, OH 44641-2310 | |
| (330) 875-4320 | |
| (330) 875-4305 |
| Full Name | Bruce P Mathie |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1403 W Main St, Louisville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497934764 | NPI | - | NPPES |
| 297661819005 | Other | OH | MEDICAL MUTUAL |
| 2039127 | Medicaid | OH | |
| 2708610 | Other | OH | AETNA |
| 000000223574 | Other | OH | ANTHEM |
| 410048659 | Other | OH | RAILRODE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4803 (Ohio) | Primary |
| Provider Name | Bruce Patrick Mathie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881685667 PECOS PAC ID: 8123052040 Enrollment ID: I20070703000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce P Mathie 1403 W Main St, Louisville, OH 44641-2310 Ph: (330) 875-4320 | Bruce P Mathie 1403 W Main St, Louisville, OH 44641-2310 Ph: (330) 875-4320 |
Mary Lynne Blevins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 503 E Main St, Louisville, OH 44641 Phone: 330-875-2300 Fax: 330-875-4110 | |
Dr. Haley A Duhaime, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 503 E Main St, Louisville, OH 44641 Phone: 330-875-2300 | |
Blevins & Blevins, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 503 E Main St, Louisville, OH 44641 Phone: 330-875-2300 Fax: 330-875-4110 |