Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW JOHN NUTAITIS SR., M.D.
ActiveDR. MATTHEW JOHN NUTAITIS SR., M.D. is a Glaucoma Specialist healthcare provider located in CHARLESTON, South Carolina. NPI 1548240740 is currently active in the NPPES registry. Verify at CMS.
Glaucoma Specialist · CHARLESTON, SC
Registration Details
- NPI Number
- 1548240740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.57829729711 yrs)
- Last Updated
- Oct 22, 2020
- Licenses
-
0101040315 (VA)TL 24814 (SC)24814 (SC)
Practice Information
- Address
-
171 ASHLEY AVECHARLESTON, SC, 294250001Browse SC providers · Browse ZIP 29425
- Phone
- 8437928864
- Primary Specialty
-
Glaucoma Specialist
207WX0009X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Glaucoma Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.