DR. DONALD MICHIAKI MATSUMOTO (NPI# 1912993346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912993346 |
| Entity Type | Individual |
| Full Name | DR. DONALD MICHIAKI MATSUMOTO |
| Credential | O.D. |
| Practice Address |
12461 W Washington Blvd Los Angeles CA 90066-5511 |
| Practice Telephone | 3103906287 |
| Practice Fax Number | 3103918464 |
| Mailing Telephone | 3103906287 |
| Mailing Fax Number | 3103918464 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
7001T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | ER060Z | 01 |
| Street Address |
12461 W WASHINGTON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992835 | Randall Wataru Yumori | Optometrist | 12461 W Washington Blvd, Los Angeles, CA 90066-5511 | 2005-09-16 |
| 1588004493 | Vipal Dinesh Gandhi | Optometrist | 12461 W Washington Blvd, Los Angeles, CA 90066-5511 | 2013-06-25 |
| 1073711461 | Cynthia Sayuri Arata | Optometrist | 12461 W Washington Blvd, Los Angeles, CA 90066-5511 | 2007-07-06 |
| 1407917701 | Marina Eyecare Center | Optometrist | 12461 W Washington Blvd, Los Angeles, CA 90066-5511 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787345 | Donald S Gould | Optometrist | 6300 Wilshire Blvd #140, Los Angeles, CA 90048 | 2007-04-09 |
| 1780718700 | Joel Hirsch | Optometrist | 5856 Wilshire Blvd, Los Angeles, CA 90036-4522 | 2007-03-14 |
| 1265569040 | Andy Huang | Optometrist | 4620 Whittier Blvd, Los Angeles, CA 90022-3008 | 2007-02-27 |
| 1477693414 | June M. Chiang | Optometrist | 1149 S Hill St Ste 365, Los Angeles, CA 90015-2212 | 2007-02-07 |
| 1598810467 | Stanley Roopenian | Optometrist | 11744 W Pico Blvd, Los Angeles, CA 90064-1309 | 2007-01-23 |
| 1407969165 | Karen Kar-ling Yeung | Optometrist | 221 Westwood Plz Rm 212, Los Angeles, CA 90095-1703 | 2006-08-16 |
| 1407895022 | Richard Paul Hoffman | Optometrist | 350 S Grand Ave, Suite B2b, Los Angeles, CA 90071-3406 | 2006-06-06 |
| 1518938307 | Gregory Yuji Kame | Optometrist | 250 East 1st St, Suite 802, Los Angeles, CA 90012-3875 | 2006-01-30 |
| 1770554727 | Anna Sun Kame | Optometrist | 334 E 2nd St # B, Los Angeles, CA 90012-4203 | 2006-01-29 |
| 1275503476 | Alisa Renai Barnes | Optometrist | 623 W 6th St, Los Angeles, CA 90017-3201 | 2006-01-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on DR. DONALD MICHIAKI MATSUMOTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.