Matherne, Michael
Matherne, Michael is an individual health care provider with primary practice located at 6765 Lankershim Blvd , North Hollywood CA 91606. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Matherne, Michael can be contacted via phone (818) 982-0076.Contact Information
Primary practice address
6765 Lankershim Blvd
North Hollywood CA 91606
Phone: (818) 982-0076
Fax: (818) 982-0634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1839-773AT | Louisiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT33865TLG | California |
Profile Details
| NPI number | 1982155701 |
|---|---|
| LBN Legal business name | Matherne, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2016 |
| Last updated | Sep 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982155701 | NPPES |
| California | Other | OPT33865TLG | BOARD OF OPTOMETRY |
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