Provider Demographics
NPI:1285801035
Name:LAYTON, MATTHEW EARL
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:EARL
Last Name:LAYTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1723
Mailing Address - Country:US
Mailing Address - Phone:361-853-2151
Mailing Address - Fax:361-853-4746
Practice Address - Street 1:3636 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1723
Practice Address - Country:US
Practice Address - Phone:361-853-2151
Practice Address - Fax:361-853-4746
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDR1396156FX1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist