Matthew William Gentile, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8079T Issued in CA

Practice address

4150 Regents Park Row
Ste 160
La Jolla, CA 92037

Phone

(858) 450-9400

Fax

(858) 546-8224

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew W Gentile OD a Professional Optometric Corporation

  • Optometrist
  • La Jolla, CA
  • NPI 1386143790
  Medicare reassignment NPD Authorized official
• Diana NG MD Inc

  • Ophthalmology Physician
  • La Jolla, CA
  • NPI 1235421116
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1487615423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 PALMILLA DR",
            "address_2": "STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92122",
            "telephone_number": "858-450-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "STE 160",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-450-9400",
            "fax_number": "858-546-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8079T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0080790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gavin J. Miller, DDS, Inc.
• Michael Jay Gawler, COTA
• Brendan Gaylis, M.D.
• Alon Gelber
• Genesis Healthcare Partners PC
• George Weiss MD Consulting Inc
• Jose George
• Robert George, D.C.
• Michael L. Gerber, M.D.
• Geriann Warnke Physical Therapy, Inc.

• 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 Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.