Individual provider Active NPI

Matthew Sean Love, O.D.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1407238199
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15251 Issued in CA
Practice address
27540 Ynez Rd Ste J15
Temecula, CA 92591-4604
Phone
(951) 506-0021
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15251 CA Primary

Addresses

Primary practice location

27540 Ynez Rd Ste J15
Temecula, CA 92591-4604

Mailing address

27540 Ynez Rd Ste J15
Temecula, CA 92591-4604
Phone (951) 506-0021

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
I20170119000681 CA Practitioner - Optometry 8325320799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27540 Ynez Rd
Suite J15
Temecula, CA 92591-4604
Phone (951) 506-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15251CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Love Optometry, Inc. Optometrist CurrentSince Sep 27, 2021 Accepting new patients
Clear Sight Optometry Temecula Eye Care, Inc. Optometrist CurrentSince Oct 5, 2021 Accepting new patients
Mark a. Jury Optometric Professional Corporation Optometrist PastSince May 1, 2020 Accepting new patients
Mark a Jury, OD a Optometric Professional Corporation Optometrist PastSince May 1, 2020 Accepting new patients

Locations

27540 Ynez Rd
Ste J15
Temecula, CA 92591
Phone (509) 449-3030

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407238199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27540 YNEZ RD STE J15",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914604",
            "telephone_number": "951-506-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27540 YNEZ RD STE J15",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914604",
            "telephone_number": "951-506-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "MATTHEW",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.