Provider Demographics
NPI:1568998656
Name:ARMENTROUT, MATTHEW HARRIS (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HARRIS
Last Name:ARMENTROUT
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8801 HORIZON BLVD NE STE 360
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1563
Mailing Address - Country:US
Mailing Address - Phone:505-828-4923
Mailing Address - Fax:505-213-0103
Practice Address - Street 1:5757 HARPER DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3566
Practice Address - Country:US
Practice Address - Phone:505-888-5757
Practice Address - Fax:505-889-3589
Is Sole Proprietor?:No
Enumeration Date:2017-05-10
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
SC1983152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist