NPI 1477941631

Joseph Gabriel Mathern, RO

Practitioner Optician Fredericksburg, VA

Practice location

Address: 100 Spotsylvania Mall, Fredericksburg, VA 22407-1126
Phone: (540) 289-2020
Mailing address: 30 Big Spring Ln, Stafford, VA 22554-7300

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1101001797 (VA)

Other Technician/Technologist providers in Virginia →

Registry record

NPI: 1477941631
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2014
Record last updated: 22 Dec 2014

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.