Provider Demographics
NPI:1467632976
Name:HABEL, MATTHEW HENRY (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HENRY
Last Name:HABEL
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 1:681 RAINBOW AVE N
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-6735
Mailing Address - Country:US
Mailing Address - Phone:205-292-7687
Mailing Address - Fax:
Practice Address - Street 1:94 CHURCH STREET NORTH
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986
Practice Address - Country:US
Practice Address - Phone:256-638-6386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B58-TA-767152W00000X, 152W00000X
GAOPT002452152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist