Matthew S. Pestrue OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003830 Issued in MI

Legal business name

MATTHEW S. PESTRUE OD PLLC

Practice address

3921 Wilder Rd
Bay City, MI 48706-2127

Phone

(989) 684-5526

Fax

(989) 684-7513

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By 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

Dr. Matthew Scott Pestrue, O.D.NPI 1487769881

Title

Optometrist

Phone

(989) 684-5526

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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 S. Pestrue, O.D.

  • Optometrist
  • Bay City, MI
  • NPI 1487769881
  Authorized official Same address or phone

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1386979953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062127",
            "telephone_number": "989-684-5526",
            "fax_number": "989-684-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062127",
            "telephone_number": "989-684-5526",
            "fax_number": "989-684-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S. PESTRUE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "PESTRUE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-684-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Matherne
• Jinu Puthenparampil Mathew, MD
• Amanda Mathews
• Mishell M Mathews, LMSW
• Darlene Matlock
• Halie Ann Matula
• Karen Matuzak
• Shelly Maxwell, PA
• Adam Mayes
• Macey Mayes

• Optometrist in Bay City, MI
• Providers in Bay City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.