Provider Demographics
NPI:1265196851
Name:MATTHEW J. LINK, O.D. LLC
Entity type:Organization
Organization Name:MATTHEW J. LINK, O.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-341-8396
Mailing Address - Street 1:822 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4508
Mailing Address - Country:US
Mailing Address - Phone:717-390-1066
Mailing Address - Fax:
Practice Address - Street 1:245 BLOOMFIELD DR STE 108
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7789
Practice Address - Country:US
Practice Address - Phone:717-517-7190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty