Provider Demographics
NPI:1407874233
Name:HUNTER, J. MATTHEW (OD)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:MATTHEW
Last Name:HUNTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3968
Mailing Address - Country:US
Mailing Address - Phone:727-842-2020
Mailing Address - Fax:727-847-9565
Practice Address - Street 1:5413 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3968
Practice Address - Country:US
Practice Address - Phone:727-842-2020
Practice Address - Fax:727-847-9565
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC0001355152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP0034123OtherRAILROAD MEDICARE
FL19367BMedicare ID - Type Unspecified
FLT54782Medicare UPIN