Active NPI
David Matsuyama O.D.
- Eyewear Supplier
- Newport Beach, CA
National Provider Identifier
1417364589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 7991T
- Legal business name
- DAVID MATSUYAMA O.D.
- Practice address
- 1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917 - Phone
- (949) 476-2870
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Alan Matsuyama, O.D.
- Title
- Optometrist
- Phone
- (949) 476-2870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 7991T | CA | Primary |
Addresses
Primary practice location
1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917
Mailing address
1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917
Phone (949) 476-2870
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Optometrist
- Newport Beach, CA
- NPI 1104942911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1417364589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRISTOL ST N STE 29",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608917",
"telephone_number": "949-476-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRISTOL ST N STE 29",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608917",
"telephone_number": "949-476-2870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MATSUYAMA O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "MATSUYAMA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "949-476-2870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": "7991T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.