Provider Demographics
NPI:1346245453
Name:BOYER, MATTHEW M (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:M
Last Name:BOYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N. W. FIRST ST.
Mailing Address - Street 2:SUITE 112
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-0396
Mailing Address - Country:US
Mailing Address - Phone:812-426-2020
Mailing Address - Fax:812-426-2828
Practice Address - Street 1:101 NW 1ST ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1259
Practice Address - Country:US
Practice Address - Phone:812-426-2020
Practice Address - Fax:812-426-2828
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045185207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN7089018OtherAETNA
ING1369707OtherOXFORD LIFE
IN180044936OtherPALMENTO GBA
KY7100076370Medicaid
IN200233580AMedicaid
IN221064OtherANTHEM
IN254280CMedicare PIN
IN221064OtherANTHEM
IN200233580AMedicaid