Provider Demographics
NPI:1629187562
Name:DAYRINGER, MATTHEW (OD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:DAYRINGER
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 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:8537 US HIGHWAY 42 STE 4F
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4796
Practice Address - Country:US
Practice Address - Phone:859-282-0911
Practice Address - Fax:859-282-0970
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1616DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
270444971001OtherMEDICAL MUTUAL
311645431OtherU.H.C.
311645431OtherHUMANA
311645431OtherAETNA
000000338235OtherANTHEM
KY0740905Medicare PIN
311645431OtherHUMANA