Michael Matherne, O.D.
Optometrist in North Hollywood, CA. Individual provider (NPI-1).
NPI number1982155701
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1982155701
- Entity type
- Individual (NPI-1)
- Name
- Michael Matherne
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT33865TLG | CA | Yes |
| 152W00000X | Optometrist | 1839-773AT | LA |
Practice location
6765 Lankershim BlvdNorth Hollywood, CA 91606
Phone 818-982-0076 · Fax 818-982-0634
Mailing address
6765 Lankershim BlvdNorth Hollywood, CA 91606-1614
Phone 818-982-0076 · Fax 818-982-0634
Other practice locations
477 E Colorado Blvd
Pasadena, CA 91101-2024
Pasadena, CA 91101-2024
Phone 626-796-1191 · Fax 626-796-0189
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