Matthew W Gentile OD a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

8079T Issued in CA

Legal business name

MATTHEW W GENTILE OD A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

4150 Regents Park Row Ste 160
La Jolla, CA 92037-9138

Phone

(858) 450-9400

NPI assigned

Feb 12, 2018

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew William Gentile, ODNPI 1487615423

Title

Owner

Phone

(858) 450-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew William Gentile, OD

  • Optometrist
  • La Jolla, CA
  • NPI 1487615423
  Medicare reassignment NPD Authorized official
• Steven Paul Tayman, OD

  • Optometrist
  • La Jolla, CA
  • NPI 1518187970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1386143790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 160",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379138",
            "telephone_number": "858-450-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 160",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379138",
            "telephone_number": "858-450-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W GENTILE OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-09-12",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-450-9400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8079T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "8079T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Mathews, PH.D.
• Asma Mathlouthi
• Beth Ann Mattera, NP
• Amanda Matthe
• Matthew M. Schultzel, DO, an Osteopathic Medical Corporation
• Taylor Mattioli, PA-C
• Gregory Mattson, M. D.
• Gayane Matusov, M.D.
• Wendi Maurer, PH.D.
• Maurice Buchbinder MD a Professional Corporation

• Optometrist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.