Provider Demographics
NPI:1558845081
Name:BYERS, MATTHEW FRANCIS (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:FRANCIS
Last Name:BYERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:120 MARTIN DR
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:WI
Practice Address - Zip Code:53021-9455
Practice Address - Country:US
Practice Address - Phone:262-692-9000
Practice Address - Fax:262-692-2797
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3522-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist