Individual provider Active NPI

Blake Matherne, MD

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1265933626
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
349073 Issued in LA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00772323MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220728002759 MS Practitioner - Ophthalmology 3375885908 Reassigns benefits to 1 organization
I20251111003602 LA Practitioner - Ophthalmology 3375885908 Reassigns benefits to 1 organization

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
Center for Eye Care LTDGroup PAC ID 4880618081, 3 clinicians
Benjamin Guidry MD, LLCGroup PAC ID 5496001505, 6 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
349073LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Guidry MD LLC CurrentSince Dec 15, 2025 Accepting new patients
Center for Eye Care LTD Ophthalmology CurrentSince Aug 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.