MICHAEL MATHERNE (NPI# 1982155701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982155701 |
| Entity Type | Individual |
| Full Name | MICHAEL MATHERNE |
| Credential | O.D. |
| Practice Address |
6765 Lankershim Blvd North Hollywood CA 91606 |
| Mailing Address |
6765 Lankershim Blvd North Hollywood CA 91606-1614 |
| Practice Telephone | 8189820076 |
| Practice Fax Number | 8189820634 |
| Mailing Telephone | 8189820076 |
| Mailing Fax Number | 8189820634 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT33865TLG | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1839-773AT | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF OPTOMETRY | OPT33865TLG | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 477 E Colorado Blvd, Pasadena, CA 911012024 | 6267961191 | 6267960189 |
| Street Address |
6765 LANKERSHIM BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366522492 | Robert Floyd Collins | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2006-10-16 |
| 1134777378 | Violeta Paronian | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2019-08-30 |
| 1558834622 | Mark William Acton | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2019-01-10 |
| 1336591742 | Aza Pivazyan | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606 | 2016-07-08 |
| 1205272820 | Robert F. Collins | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2013-05-22 |
| 1477804771 | Melody Huang | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2012-09-26 |
| 1245438985 | Paola Wong | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2007-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083085666 | Ann Thy Ngo | Optometrist | 6502 Coldwater Canyon Ave, North Hollywood, CA 91606-1115 | 2015-10-08 |
| 1366522492 | Robert Floyd Collins | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2006-10-16 |
| 1356435713 | Ronald Henteleff | Optometrist | 13029 Victory Blvd, North Hollywood, CA 91606-2925 | 2006-10-02 |
| 1326093303 | Thomas Kutrosky | Optometrist | 5269 Lankershim Blvd, North Hollywood, CA 91601-3111 | 2006-05-24 |
| 1801864798 | Kimberly J Shih | Optometrist | 6801 Coldwater Canyon Ave, North Hollywood, CA 91605-5162 | 2006-03-08 |
| 1922071646 | Barry Alan Wagner | Optometrist | 12000 Victory Blvd, North Hollywood, CA 91606-3319 | 2006-02-13 |
| 1134777378 | Violeta Paronian | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2019-08-30 |
| 1558834622 | Mark William Acton | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606-1614 | 2019-01-10 |
| 1336591742 | Aza Pivazyan | Optometrist | 6765 Lankershim Blvd, North Hollywood, CA 91606 | 2016-07-08 |
| 1316353220 | Anna Lam | Optometrist | 12000 Victory Blvd, North Hollywood, CA 91606-3319 | 2014-07-11 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on MICHAEL MATHERNE.
| 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.