Active NPI
Blake Matherne, MD
- Ophthalmology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 349073
- Practice address
- 3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418 - Phone
- (504) 218-4936
- Fax
- (504) 218-8241
- NPI assigned
- Feb 21, 2018
- Last updated
- Jan 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 349073 | LA | Primary |
| Ophthalmology Physician | 207W00000X | 28777 | MS |
Addresses
Primary practice location
3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418
Mailing address
3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418
Phone (504) 218-4936
Other practice location 1
1111 Medical Center Blvd Ste 114
Marrero, LA 70072-3258
Phone (504) 218-4936
Other practice location 2
3420 Bienville Blvd
Ocean Springs, MS 39564-5732
Phone (228) 875-3937
Other practice location 3
2600 Belle Chasse Hwy Ste G
Terrytown, LA 70056-7156
Phone (504) 218-4936
Other practice location 4
1580 W Causeway Approach Ste 3
Mandeville, LA 70471-3033
Phone (504) 218-4936
Other practice location 5
2160 Gause Blvd E Ste 101
Slidell, LA 70461-4242
Phone (504) 218-4936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00772323 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in New Orleans, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3420 Bienville Blvd
Ocean Springs, MS 39564-5732
Phone (228) 875-3937
3636 S I 10 Service Rd W
Suite 204
Metairie, LA 70001-6418
Phone (504) 218-4936
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349073 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benjamin Guidry MD LLC | Current | Accepting new patients | |
| Center for Eye Care LTD | Ophthalmology | Current | Accepting new patients |
| Mississippi Eye Surgery Center UC | Past | Accepting new patients |
Locations
1580 W Causeway Approach
Ste 3
Mandeville, LA 70471
Phone (985) 624-5573
1111 Medical Center Blvd
Ste 114
Marrero, LA 70072
Phone (504) 218-4936
3636 S I 10 Service Rd W
Ste 204
Metairie, LA 70001
Phone (504) 218-4936
2160 Gause Blvd E
Ste 101
Slidell, LA 70461
Phone (504) 218-4936
2600 Belle Chasse Hwy
#O
Terrytown, LA 70056
Phone (504) 218-4936
2600 Belle Chasse Hwy
Ste G
Terrytown, LA 70056
Phone (504) 218-4936
1720 Medical Park Dr
#330A
Biloxi, MS 39532
3420 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 396-3937
3420 Bienville Blvd
#A
Ocean Springs, MS 39564
Interoperability endpoints
- https://api.platform.athenahealth.com/18004/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Retina Consultants of New Orleans
- Retina Specialist (Ophthalmology) Physician
- Metairie, LA
- NPI 1184116204
-
- Ophthalmology Physician
- Ocean Springs, MS
- NPI 1487768024
-
- Amputee Clinic/Center
- Ocean Springs, MS
- NPI 1609809326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Surgical Hospital
- General Acute Care Hospital
- Slidell, LA
- NPI 1821465576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1265933626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 S I 10 SERVICE RD W STE 204",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700016418",
"telephone_number": "504-218-4936",
"fax_number": "504-218-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 S I 10 SERVICE RD W STE 204",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700016418",
"telephone_number": "504-218-4936",
"fax_number": "504-218-8241"
}
],
"practiceLocations": [
{
"address_1": "1111 Medical Center Blvd Ste 114",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "700723258",
"country_code": "US",
"telephone_number": "504-218-4936",
"fax_number": "504-218-8241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3420 Bienville Blvd",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395645732",
"country_code": "US",
"telephone_number": "228-875-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Belle Chasse Hwy Ste G",
"address_purpose": "LOCATION",
"city": "Terrytown",
"state": "LA",
"postal_code": "700567156",
"country_code": "US",
"telephone_number": "504-218-4936",
"fax_number": "504-218-8241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1580 W Causeway Approach Ste 3",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704713033",
"country_code": "US",
"telephone_number": "504-218-4936",
"fax_number": "504-218-8241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 Gause Blvd E Ste 101",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704614242",
"country_code": "US",
"telephone_number": "504-218-4936",
"fax_number": "505-218-8241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHERNE",
"first_name": "BLAKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "349073",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "28777",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00772323",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.