Individual provider Active NPI

Matthew R Alpert, O.D.

  • Optometrist
  • Woodland Hills, CA
National Provider Identifier
1396765277
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10658T Issued in CA
Practice address
20929 Ventura Blvd Ste 23
Woodland Hills, CA 91364-3352
Phone
(818) 883-4303
Fax
(818) 883-5331
NPI assigned
Jul 20, 2006
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10658T CA Primary

Addresses

Primary practice location

20929 Ventura Blvd Ste 23
Woodland Hills, CA 91364-3352

Mailing address

20929 Ventura Blvd Ste 23
Woodland Hills, CA 91364-3352
Phone (818) 883-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001251 CA Practitioner - Optometry 4688799711 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10658CAMDMental Health Counselor
10658TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Peterson OD Optometric Corporation Optometrist CurrentSince Nov 19, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 2, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 2, 2023 Accepting new patients
Corben Optometry Inc Optometrist PastSince Jan 1, 2008 Accepting new patients

Locations

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 545-4585

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

2867 Agoura Rd
Westlake Vlg, CA 91361
Phone (805) 496-2448

20929 Ventura Blvd
Ste 23
Woodland Hls, CA 91364
Phone (424) 666-1597

Practitioners & affiliated clinicians

Practitioners 4

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.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1396765277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD STE 23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643352",
            "telephone_number": "818-883-4303",
            "fax_number": "818-883-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD STE 23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643352",
            "telephone_number": "818-883-4303",
            "fax_number": "818-883-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10658T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.