Mathew Petersen, ABOC
Mathew Petersen, ABOC is an Optician in Sandy, Utah. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
9450 S 1300 ESandy, UT 84094-5555
Phone: (801) 576-6433
Fax: (801) 576-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1427467208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABOC |
| Sole proprietor | No |
| NPI enumerated | August 6, 2014 |
| Last updated in NPPES | December 8, 2021 |
| Certification date | December 8, 2021 |
| Mailing address | 9450 S 1300 E, Sandy, UT 84094-5555 |
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