NPI 1124401773

Matthew Gifford, OD

Practitioner Optometrist Mishawaka, IN

Practice location

Address: 5111 N Main St Reet STE 200, Mishawaka, IN 46545
Phone: (574) 277-8121
Mailing address: 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003913A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1124401773
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2015
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.