Provider Demographics
NPI:1255391090
Name:FINDLAY, MATHEW GENE (OD)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:GENE
Last Name:FINDLAY
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 1:126 E 4800 S
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3830
Mailing Address - Country:US
Mailing Address - Phone:801-403-3308
Mailing Address - Fax:801-262-2411
Practice Address - Street 1:126 E 4800 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-3830
Practice Address - Country:US
Practice Address - Phone:801-262-2411
Practice Address - Fax:801-262-2412
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT381000-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU74443Medicare UPIN